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Jennifer Nicole Standridge
Counselor in Tishomingo, Oklahoma
NPI 1447699905

Jennifer Nicole Standridge is a Counselor based in Mead, OK. Jennifer Nicole Standridge practices in Tishomingo, OK. The NPI Number for Jennifer Nicole Standridge is 1447699905 and holds a License No. (Oklahoma).

The current practice location address for Jennifer Nicole Standridge is 512 E 24Th St, Tishomingo, OK and can be reached out via phone at 580-371-3672 and via fax at 580-371-3651.

Location: 512 E 24Th St, Tishomingo, OK, 73449-0048
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447699905
Provider Name
Jennifer Nicole Standridge
Credential
Provider Entity Type
Individual
Gender
Female
Address
512 E 24Th St, Tishomingo, OK, 73449-0048
Phone Number
580-371-3672
Fax Number
580-371-3651
Provider Enumeration Date
06/18/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200049040 05 OK
100708380 05 OK
institution
Provider Business Practice Location Address Details
Address
512 E 24Th St
City
Tishomingo
State
Oklahoma
Zip
73460-3214
Phone Number
580-371-3672
Fax Number
580-371-3651
person
Provider Business Mailing Address Details
Address
512 E 24Th St
City
Tishomingo
State
Oklahoma
Zip
73460-3214
Phone Number
580-371-3672
Fax Number
580-371-3651
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
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Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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