Individual
MRS. JENNIFER RENEE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC , MCP
Contact information
Practice address
1025 W CHERRY AVE, ENID, OK 73703-3318
(580) 237-3455
(580) 237-1947
Mailing address
1025 W CHERRY AVE, ENID, OK 73703-3318
(580) 237-3455
(580) 237-1947
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/16/2006
Last updated
01/13/2011
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