Jayci Carol Jacks

NPI #1144631904 in Durant, Oklahoma

Provider Information

NPI Number: 1144631904
Entity Type: Individual
Name: Jayci Carol Jacks
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: May 14, 2014
Last Updated: May 14, 2014

Practice Location

Address: 5419 ROADRUNNER DR
City: Durant
State: Oklahoma
ZIP Code: 74701-2452
Phone: (580) 271-0521

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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