Trotter, Jessica Leanna Lajuan

Trotter, Jessica Leanna Lajuan is an sole proprietor health care provider with primary practice located at 1336 N Harrison Ave , Shawnee OK 74801-5206. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Trotter, Jessica Leanna Lajuan can be contacted via phone (405) 424-7711.

Contact Information

Primary practice address
1336 N Harrison Ave Shawnee OK 74801-5206
Phone: (405) 424-7711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1992011142
LBN Legal business name Trotter, Jessica Leanna Lajuan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2010
Last updated Jun 27th, 2023 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1992011142 NPPES
Oklahoma MEDICAID 103K00000X

Popular Providers