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NPI Profile for LESLIE BEAVERSON JACOX in DURANT, OK.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X |
| NPI Number | 1134491475 |
|
| Status | Active | |
| Credentials | LPC (Licensed Professional Counselor) | |
| Entity | Individual | |
| Enumeration date | 02/02/2012 | |
| Last updated | 09/17/2025 - About 9 months ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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LESLIE BEAVERSON JACOX
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LESLIE BEAVERSON JACOX, LPC