Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jackalope Therapy

Organization Counselor · NPI 1629942917

Jackalope Therapy is a Counselor in Moore, Oklahoma. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1119 Leafhurst Rd
Moore, OK 73160-8533
Phone: (405) 237-5696
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1629942917
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Blume — Owner · (405) 237-5696
NPI enumeratedOctober 1, 2025
Last updated in NPPESOctober 16, 2025
Certification dateOctober 16, 2025
Mailing address1119 Leafhurst Rd, Moore, OK 73160-8533

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