MRS. Kristi Denise Jack

NPI #1275817611 in Atoka, Oklahoma

Provider Information

NPI Number: 1275817611
Entity Type: Individual
Name: MRS. Kristi Denise Jack
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Oct 4, 2011
Last Updated: Oct 30, 2018

Practice Location

Address: 1088 S GIN RD
City: Atoka
State: Oklahoma
ZIP Code: 74525-7378
Phone: (580) 239-2071

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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