Individual
JENNIFER KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, LPC
Contact information
Practice address
904 NORWAY AVE, YUKON, OK 73099-9759
(405) 474-0430
Mailing address
904 NORWAY AVE, YUKON, OK 73099-9759
(405) 474-0430
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2235
OK
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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