Individual
JENNIFER C MCGLOTHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
606 KIHEKAH AVE, PAWHUSKA, OK 74056
(918) 287-5414
Mailing address
468 85TH RD, PONCA CITY, OK 74604-6675
(580) 765-9511
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
430
OK
Other
Enumeration date
10/09/2009
Last updated
05/22/2018
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