Jessica Stafford

NPI #1083058697 in Muskogee, Oklahoma

Provider Information

NPI Number: 1083058697
Entity Type: Individual
Name: Jessica Stafford
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Enumeration Date: Apr 25, 2013
Last Updated: Apr 25, 2013

Practice Location

Address: 1805 N YORK ST
Address 2: SUITE G
City: Muskogee
State: Oklahoma
ZIP Code: 74403-1404
Phone: (918) 682-9292

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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