MR. Mickey Dewayne Jack, BHRS is a mental health counselor in Atoka, OK. MR. Mickey Dewayne Jack, BHRS NPI is 1861768715. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
303 E COURT ST
ATOKA, OK
ZIP 74525-047
Phone: (580) 889-3399
The enumeration date for this NPI number is 3/26/2012 and was last updated on 3/26/2012.