Provider Demographics
NPI:1598154155
Name:LUQUETTE, JANA SUE
Entity Type:Individual
Prefix:MRS
First Name:JANA
Middle Name:SUE
Last Name:LUQUETTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 9TH STREET CIR
Mailing Address - Street 2:
Mailing Address - City:CHICKASHA
Mailing Address - State:OK
Mailing Address - Zip Code:73018-6813
Mailing Address - Country:US
Mailing Address - Phone:808-351-7430
Mailing Address - Fax:
Practice Address - Street 1:3915 N PENNSYLVANIA AVE
Practice Address - Street 2:FAMILY RECOVERY COUNSELING CENTER
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-7586
Practice Address - Country:US
Practice Address - Phone:405-524-2424
Practice Address - Fax:405-525-3677
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-20
Last Update Date:2015-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator