Individual
JENNIFER LYNN CHEATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1605 N HARRISON ST, SHAWNEE, OK 74804-4022
(405) 395-2602
Mailing address
1605 N HARRISON ST, SHAWNEE, OK 74804-4022
(405) 395-2602
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/09/2017
Last updated
08/09/2017
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