Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAKE WILLARD, MA
Active Sole ProprietorJAKE WILLARD, MA is a Mental Health Counselor healthcare provider located in EDMOND, Oklahoma. NPI 1215613088 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · EDMOND, OK
Registration Details
- NPI Number
- 1215613088
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 26, 2023 (3.1288378080401 yrs)
- Last Updated
- Jun 26, 2023
- License
-
LPCCANDIDATE11434 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
13707 FAIRHILL AVEEDMOND, OK, 73013Browse OK providers · Browse ZIP 73013
- Phone
- 4056074041
- Fax
- 4054630090
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in EDMOND, OK
| Name | Credential | NPI |
|---|---|---|
| MRS. RUTH ANNE HAST | LPC | 1245297431 |
| BARBARA WISE DOYLE | LPC | 1093762007 |
| ROXANNE BENAD DOGGETT | — | 1902816846 |
| MARSHA A. MCALISTER | LPC | 1407958937 |
| MR. KEVIN ALBERT TUTTY | MA, LPC | 1831284546 |
| PEGGY RACKLEY | — | 1689753584 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.