MEDICARE: JESSICA LYNN LEMONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1932336047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA LYNN LEMONS

Provider Business Mailing Address
First Line	:	7020 E 79TH ST
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74133-7839
Country	:	US
Telephone Number	:	918-269-4766
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 N GREENWOOD AVE # 131
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74120-1444
Country	:	US
Telephone Number	:	918-599-7277
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2009
Last Update Date	:	06/03/2021

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