MISS Jessicca Diane St. Clair, BA

NPI #1689967556 in Durant, Oklahoma

Provider Information

NPI Number: 1689967556
Entity Type: Individual
Name: MISS Jessicca Diane St. Clair, BA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: BA
Enumeration Date: May 25, 2011
Last Updated: May 29, 2011

Practice Location

Address: 1424 W TEXAS ST
City: Durant
State: Oklahoma
ZIP Code: 74701-5752
Phone: (580) 380-5220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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