Individual provider · Type 1 NPI

Jessica Lynelle Dodge, BA

Mental Health Counselor · Yukon, OK

NPI number 1962510768 Active

Practice location

1501 W. Commerce
Yukon, OK 73099

Fax (405) 354-3927

Mailing address

2609 Featherstone Rd, Apt 540
Oklahoma City, OK 73120-2105

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1962510768

Jessica Lynelle Dodge, BA's National Provider Identifier is 1962510768, issued on Aug 29, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Yukon, OK. The record was last updated on Jul 8, 2007.