MS. SHELLY JACK, BHRS CM II

Clinic/Center - Mental Health (Including Community Mental Health Center)

Active Individual
NPI: 1447520135

Practice Address

1088 S GIN RD
Atoka, OK 74525

Phone: (580) 239-2071

Frequently Asked Questions

NPI 1447520135 is the National Provider Identifier for MS. SHELLY JACK, BHRS CM II, a Clinic/Center - Mental Health (Including Community Mental Health Center) provider located in Atoka, OK. This NPI was enumerated on January 11, 2012.
MS. SHELLY JACK, BHRS CM II practices at 1088 S GIN RD, Atoka, OK 74525.

Quick Facts

NPI
1447520135
Type
Individual
Enumerated
Jan 11, 2012
Last Updated
Oct 30, 2018

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