NPI 1023215563

Jessica Lea Shores, MSW

Practitioner Counselor Ada, OK

Practice location

Address: 111 E 12th St, Ada, OK 74820-6501
Phone: (580) 436-2690

Registered specialties

Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101Y00000X

Other Counselor providers in Oklahoma →

Registry record

NPI: 1023215563
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jun 2007
Record last updated: 28 Aug 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.