Individual provider · Type 1 NPI

Jackie Lynn Shamsollahi, MS, LPC

Counselor · Durant, OK

NPI number 1831649276 Active

Practice location

324 N Washington Ave
Durant, OK 74701-3642

Mailing address

401 Northridge Dr
Durant, OK 74701-2561

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X1853 (OK)
Counselor Primary 101Y00000X1853

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1831649276

Jackie Lynn Shamsollahi, MS, LPC's National Provider Identifier is 1831649276, issued on Oct 10, 2016. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Durant, OK. The record was last updated on Aug 21, 2024.