Jackie Leann Horton
Individual provider Active NPI Mental Health Counselor · Coalgate, OK
NPI 1407175185 · NPPES record last updated Aug 10, 2012
Key facts
- NPI
- 1407175185
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- RR 4 Box 854
Coalgate, OK 74538-9624 - Phone
- (580) 399-5398
- Fax
- (580) 927-2346
- NPI assigned
- May 20, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackie Horton LLC | Mental Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
RR 4 Box 854
Coalgate, OK 74538-9624
Mailing address
RR 4 Box 854
Coalgate, OK 74538-9624
Phone (580) 399-5398
Other providers in Coalgate, OK
- Helton Rural Health Clinic
- Richard J Helton
- Michael Dell Hendrix
- Kellton D'Andre de'Wayne Hollins
- Beau Hopkins
- Tina Hull
- Jackie Horton LLC
- Jenna Kennison
- Lakesa Mace
- Kevin Milam
All providers in Coalgate, OK · Mental Health Counselor in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.