Provider Demographics
NPI:1891504379
Name:GARCIA, JOYCELYN J
Entity type:Individual
Prefix:
First Name:JOYCELYN
Middle Name:J
Last Name:GARCIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105993 S 4290 RD
Mailing Address - Street 2:
Mailing Address - City:CHECOTAH
Mailing Address - State:OK
Mailing Address - Zip Code:74426-7303
Mailing Address - Country:US
Mailing Address - Phone:820-203-3911
Mailing Address - Fax:
Practice Address - Street 1:105993 S 4290 RD
Practice Address - Street 2:
Practice Address - City:CHECOTAH
Practice Address - State:OK
Practice Address - Zip Code:74426-7303
Practice Address - Country:US
Practice Address - Phone:820-203-3911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-30
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)