Jaclyn Johndrow, LPC S
NPI #1154767812 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1154767812
- Entity Type
- Individual
- Name
- Jaclyn Johndrow, LPC S
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LPC S
- Enumeration Date
- May 21, 2013
- Last Updated
- Mar 11, 2022
Practice Location
- Address
- 1608 E GRANGER ST
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-8311
- Phone
- (918) 381-5292
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
| Counselor - Mental Health — Mental Health |
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