Individual
JENNIFER LYNNE MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
90 N 31ST ST, CLINTON, OK 73601-9116
(580) 323-6021
Mailing address
1020 N WASHINGTON ST APT 2, WEATHERFORD, OK 73096-3258
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
YUN880336932
BLUE CROSS/BLUE SHIELD
OK
Enumeration date
06/21/2017
Last updated
06/21/2017
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