Individual
JILL KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCP, LPC
Contact information
Practice address
1625 W OWEN K GARRIOTT RD STE F, ENID, OK 73703-5653
(580) 242-4673
Mailing address
2025 S VAN BUREN ST, ENID, OK 73703-8214
(580) 341-0899
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4169
OK
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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