Provider Demographics
NPI:1760929582
Name:FRANKS, JASON MARK (LPC (US), CADC (US))
Entity Type:Individual
Prefix:MR
First Name:JASON
Middle Name:MARK
Last Name:FRANKS
Suffix:
Gender:M
Credentials:LPC (US), CADC (US)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7616 NW 26TH ST
Mailing Address - Street 2:
Mailing Address - City:BETHANY
Mailing Address - State:OK
Mailing Address - Zip Code:73008-4934
Mailing Address - Country:US
Mailing Address - Phone:405-990-2208
Mailing Address - Fax:405-840-9017
Practice Address - Street 1:2113 W BRITTON RD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-1505
Practice Address - Country:US
Practice Address - Phone:405-233-4275
Practice Address - Fax:405-840-9017
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-31
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)