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Search › Oklahoma › Case Management Agency

Trista Jacques

NPI 1134591977 · on the registry since 2015 · sole proprietor

Practice

Address
32 E Cherokee Ave Ste 104
Mcalester, OK 74501
Phone
(918) 423-9400
Organisation at this address
Phoenix Gate Inc
Phoenix Gate, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
Case Management Agency
251B00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-10-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma