JESSICA LEA SHORES M.S.W
NPI 1023215563
Counselor in Ada, OK

Q: What is Jessica Shores's NPI number?

The NPI number for Jessica Shores is 1023215563. It was assigned to this individual provider in the NPPES registry on June 28, 2007.

Q: What is Jessica Shores's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Shores was last updated on August 28, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 28, 2007

111 E 12TH ST, ADA, OK 74820(580) 436-2690 Get Directions Write a Review

NPPES record last updated: August 28, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jessica Lea Shores M.s.w NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA LEA SHORES M.S.W (NPI 1023215563) is an individual counselor in Ada, Oklahoma and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1023215563

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameJESSICA LEA SHORESCredential: M.S.W

Location Address111 E 12TH STAda, OK 74820-6501

Mailing Address111 E 12th StAda, OK 74820-6501 · (580) 436-2690

Phone(580) 436-2690

Sole ProprietorNo

Enumeration DateJune 28, 2007

Last NPPES UpdateAugust 28, 2008

✔ NPI 1023215563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

111 E 12TH ST, Ada, OK 74820

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