Janessa Baccus
NPI #1629833280 in Locust Grove, Oklahoma
Provider Information
- NPI Number
- 1629833280
- Entity Type
- Individual
- Name
- Janessa Baccus
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Feb 13, 2024
- Last Updated
- Aug 4, 2025
Practice Location
- Address
- 210 BRYAN
- City
- Locust Grove
- State
- Oklahoma
- ZIP Code
- 74352-5154
- Phone
- (918) 824-5953
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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