Johndrow, Jaclyn

Johndrow, Jaclyn is an sole proprietor health care provider with primary practice located at 1608 E Granger St , Broken Arrow OK 74012-8311. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Johndrow, Jaclyn can be contacted via phone (918) 381-5292.

Contact Information

Primary practice address
1608 E Granger St Broken Arrow OK 74012-8311
Phone: (918) 381-5292
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 5937 Oklahoma

Profile Details

NPI number 1154767812
LBN Legal business name Johndrow, Jaclyn
Credentials LPC S
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2013
Last updated Mar 11th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers