Individual
AMY ADELLE JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LPC-C
Contact information
Practice address
1605 N HARRISON ST, SHAWNEE, OK 74804-4022
(405) 481-7187
(405) 481-7219
Mailing address
6 TURKEY KNOB ST, SHAWNEE, OK 74804-3231
(405) 219-0030
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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