JAKE WILLARD

EDMOND, OK
NPI1215613088
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OK  LPCCANDIDATE11434)
Enumeration Date2023-06-26
Last Update Date2023-06-26
Business Address
JAKE WILLARD MA
13707 FAIRHILL AVE
EDMOND, OK 73013
Phone number: 405-607-4041
Mailing Address
JAKE WILLARD MA
13707 FAIRHILL AVE
EDMOND, OK 73013
Phone number: 405-607-4041
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