Jake Roberts, LPC

NPI 1396082798 · on the registry since 2013

Practice

Address: 200 White Eagle Dr
Ponca City, OK 74601
Phone: (580) 765-2501
Organisation at this address: White Eagle Health Center
White Eagle Health Center
White Eagle Dialysis Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 33

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: OK
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-02-28

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