Jackie Horton LLC

NPI #1154702256 in Coalgate, Oklahoma

Provider Information

NPI Number: 1154702256
Entity Type: Organization
Organization Name: Jackie Horton LLC
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jun 15, 2015
Last Updated: Jun 15, 2015

Practice Location

Address: RR 4 BOX 854
City: Coalgate
State: Oklahoma
ZIP Code: 74538-9624
Phone: (580) 399-5398

Authorized Official

Name: JACKIE HORTON, LPC
Title: OWNER
Phone: (580) 399-5398

Specialties & Taxonomy Codes

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

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