Search › Oklahoma › 261QM0801X
Shelly Jack, BHRS CM II
NPI 1447520135 · on the registry since 2012 · sole proprietor
Practice
- Address
- 1088 S Gin Rd
Atoka, OK 74525 - Phone
- (580) 239-2071
- Fax
- (580) 509-5041
- Organisation at this address
- Wild Horse Counseling Service, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 261QM0801X
261QM0801X
- Also registered as
- 104100000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-10-30
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