Individual
JENNY WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCP, LPC, LADC
Contact information
Practice address
400 E CENTRAL AVE STE 505E, PONCA CITY, OK 74601-5429
(580) 749-9789
Mailing address
PO BOX 153, NEWKIRK, OK 74647-0153
(580) 749-9789
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/06/2015
Last updated
10/27/2023
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