Mr. Mickey Dewayne Jack, BHRS
Mr. Mickey Dewayne Jack, BHRS is a Mental Health Counselor in Atoka, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
303 E Court StAtoka, OK 74525-2047
Phone: (580) 889-3399
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1861768715 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | BHRS |
| Sole proprietor | Yes |
| NPI enumerated | March 26, 2012 |
| Last updated in NPPES | March 26, 2012 |
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