Jacqueline Coates

NPI #1962122309 in Moore, Oklahoma

Provider Information

NPI Number: 1962122309
Entity Type: Individual
Name: Jacqueline Coates
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Aug 29, 2022
Last Updated: Aug 29, 2022

Practice Location

Address: 1400 SE 4TH ST STE A
City: Moore
State: Oklahoma
ZIP Code: 73160-7328
Phone: (405) 837-1033

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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