Individual
MICHAEL JOHNEEL FENNER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3035 NW 63RD ST STE 201, OKLAHOMA CITY, OK 73116-3606
(405) 842-8801
Mailing address
3035 NW 63RD ST STE 201, OKLAHOMA CITY, OK 73116-3606
(405) 842-8801
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/25/2010
Last updated
01/05/2012
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