MRS. KRISTI DENISE JACK NPI 1275817611

NPI Information

MRS. Kristi Denise Jack is a counselor in Atoka, OK. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MRS. Kristi Denise Jack NPI is 1275817611. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1088 S GIN RD
ATOKA, OK
ZIP 74525-378
Phone: (580) 239-2071
Fax: (580) 509-5041

The enumeration date for this NPI number is 10/4/2011 and was last updated on 10/30/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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