Individual
JENNIFER LEA COUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4130 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5209
(405) 476-5515
Mailing address
4130 LINCOLN BLVD, OKLAHOMA CITY, OK 73105
(405) 476-5515
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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