Individual
MISS JENIECE ANN BRIDGFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC- CANDIDATE
Contact information
Practice address
12617 S MCLOUD RD, MCLOUD, OK 74851-8509
(405) 481-4755
Mailing address
12617 S MCLOUD RD, MCLOUD, OK 74851-8509
(405) 481-4755
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
Primary
13313
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100742400 B
—
OK
05
—
100742400F
—
OK
Enumeration date
05/16/2008
Last updated
03/23/2026
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