Kirsch, Jacqueline F

Kirsch, Jacqueline F is an individual health care provider with primary practice located at 711 S Muskogee Ave , Tahlequah OK 74464-4717. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Kirsch, Jacqueline F can be contacted via phone (918) 207-0078.

Contact Information

Primary practice address
711 S Muskogee Ave Tahlequah OK 74464-4717
Phone: (918) 207-0078
Fax: (918) 207-0058
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X Oklahoma
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1326243742
LBN Legal business name Kirsch, Jacqueline F
Credentials BA, MHPP,WC,RSS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2007
Last updated Jun 25th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326243742 NPPES
Oklahoma MEDICAID 1326243742
Oklahoma MEDICAID 116378726

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