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Jessica Shollmier

Counselor in Jenks, OK. Individual provider (NPI-1).

NPI number1447876404
StatusActive
Last updated in NPPESJun 24, 2020

Details

NPI
1447876404
Entity type
Individual (NPI-1)
Name
Jessica Shollmier
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 24, 2020
Certification date
Jun 24, 2020
Last updated
Jun 24, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor––Yes

Practice location

3703 W 104th St S
Jenks, OK 74037-1927

Phone 918-408-3200

Mailing address

3703 W 104th St S
Jenks, OK 74037-1927

Phone 918-408-3200

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