Individual
JEANNIE MCMAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, LPC
Contact information
Practice address
6402 N SANTA FE AVE, SUITE B, OKLAHOMA CITY, OK 73116-9118
(918) 623-8121
Mailing address
6402 N SANTA FE AVE, SUITE B, OKLAHOMA CITY, OK 73116-9118
(918) 623-8121
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1986
OK
Other
Enumeration date
04/18/2014
Last updated
04/18/2014
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