MS. Mary Jacque Ishcomer

NPI #1225152259 in Idabel, Oklahoma

Provider Information

NPI Number
1225152259
Entity Type
Individual
Name
MS. Mary Jacque Ishcomer
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Enumeration Date
Mar 16, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
2000 E LINCOLN RD
City
Idabel
ZIP Code
74745-7353
Phone
(580) 286-6639

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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