Individual
MRS. JENNIFER FONS BLUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
6922 S WESTERN AVE, SUITE 101, OKLAHOMA CITY, OK 73139-1803
(405) 632-2815
Mailing address
6922 S WESTERN AVE, SUITE 101, OKLAHOMA CITY, OK 73139-1803
(405) 632-2815
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2569
OK
101YM0800X
Mental Health Counselor
Primary
2569
OK
Other
Enumeration date
09/05/2008
Last updated
02/20/2019
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