Provider Demographics
NPI:1932432317
Name:MORRIS, JESSICA MIKEL (MS, LPC)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:MIKEL
Last Name:MORRIS
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:
Other - Last Name:ELIZARDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2505 STANLEY STATION ST
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-1094
Mailing Address - Country:US
Mailing Address - Phone:580-656-5977
Mailing Address - Fax:
Practice Address - Street 1:10400 VINEYARD BLVD STE H200
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-3830
Practice Address - Country:US
Practice Address - Phone:405-607-2995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-16
Last Update Date:2019-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health