Amanda Jesse

NPI #1164902755 in Skiatook, Oklahoma

Provider Information

NPI Number: 1164902755
Entity Type: Individual
Name: Amanda Jesse
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Aug 14, 2018
Last Updated: Jan 27, 2023

Practice Location

Address: 202 W 4TH ST
City: Skiatook
State: Oklahoma
ZIP Code: 74070-1409
Phone: (918) 408-8711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Counselor	101Y00000X	Primary

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