Jo Ann Dupree Matlock, LPC
Individual provider Active NPI Professional Counselor · Valliant, OK
NPI 1881920783 · NPPES record last updated Oct 27, 2009
Key facts
- NPI
- 1881920783
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2779 (OK)
- Practice address
- RR 1 Box 627
Valliant, OK 74764-9655 - Phone
- (580) 933-7229
- NPI assigned
- Oct 27, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2779 | OK | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2779 | OK | Yes |
Addresses
Primary practice location
RR 1 Box 627
Valliant, OK 74764-9655
Mailing address
RR 1 Box 627
Valliant, OK 74764-9655
Phone (580) 933-7229
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2779 | Medicaid | OK |
Other providers in Valliant, OK
- Stephanie Heffner
- Martha Hensley
- Hogan Medical Clinic LLC
- Rhoda Eola Holleman
- Sabrina Johnson
- McCurtain Memorial Medical Management, Inc.
- Ashlynn Danielle McNeal
- Emiley Ann Montgomery
- Krystal Michelle Nation
- Doris Arianna Nelson
All providers in Valliant, OK · Professional 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 Oct 27, 2009. 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.