Individual
JENNIFER L CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHRS
Contact information
Practice address
715 N 1ST AVE, DURANT, OK 74701-3801
(580) 931-3008
(580) 931-8022
Mailing address
901 SPRINGFIELD COURT ST, DURANT, OK 74701-2328
(580) 920-9032
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200049040F
—
OK
Enumeration date
02/09/2012
Last updated
02/09/2012
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