Jackalope Therapy

NPI #1629942917 in Moore, Oklahoma

Provider Information

NPI Number: 1629942917
Entity Type: Organization
Organization Name: Jackalope Therapy
Primary Specialty: Counselor
Enumeration Date: Oct 1, 2025
Last Updated: Oct 16, 2025

Practice Location

Address: 1119 LEAFHURST RD
City: Moore
State: Oklahoma
ZIP Code: 73160-8533
Phone: (405) 237-5696

Authorized Official

Name: JENNIFER BLUME, LCSW
Title: OWNER
Phone: (405) 237-5696

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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