Individual
MRS. JENNIFER BAHAMON MCKNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
3131 EXECUTIVE DR, SAN ANGELO, TX 76904-6801
(325) 307-3040
Mailing address
3131 EXECUTIVE DR, SAN ANGELO, TX 76904-6801
(325) 307-3040
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
91222
TX
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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