Search › Oklahoma › 224Z00000X
Jessica Waddle, COTA
NPI 1891466314 · on the registry since 2021 · sole proprietor
Practice
- Address
- 1712 S Boulevard
Edmond, OK 73013 - Phone
- (405) 606-5768
- Organisation at this address
- Cottonwood Counseling, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-09-23
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