MR. MICKEY JACK, BHRS
Counselor - Mental Health
Active
Individual
NPI: 1861768715
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Mental Health | 101YM0800X | Yes | - |
Frequently Asked Questions
NPI 1861768715 is the National Provider Identifier for MR. MICKEY JACK, BHRS, a Counselor - Mental Health provider located in Atoka, OK. This NPI was enumerated on March 26, 2012.
MR. MICKEY JACK, BHRS practices at 303 E COURT ST, Atoka, OK 74525.
Quick Facts
- NPI
- 1861768715
- Type
- Individual
- Enumerated
- Mar 26, 2012
- Last Updated
- Mar 26, 2012
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