Individual
DR. JESSICA MCKENNON BRODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-4106
Mailing address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-4106
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2985
OK
103T00000X
Psychologist
Primary
1260
OK
Other
Enumeration date
03/17/2006
Last updated
04/11/2016
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