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Jessica Pendergraft
Mental Health Counselor in Enid, Oklahoma
NPI 1659771996

Jessica Pendergraft is a Mental Health Counselor based in Waukomis, OK and is specialized in Mental Health. Jessica Pendergraft practices in Enid, OK. The NPI Number for Jessica Pendergraft is 1659771996 and holds a License No. 6723 (Oklahoma).

The current practice location address for Jessica Pendergraft is 300 W Cherokee Ave Ste 102, Enid, OK and can be reached out via phone at 580-340-7235.

Location: 300 W Cherokee Ave Ste 102, Enid, OK, 73773-1033
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659771996
Provider Name
Jessica Pendergraft
Credential
Provider Entity Type
Individual
Gender
Female
Address
300 W Cherokee Ave Ste 102, Enid, OK, 73773-1033
Phone Number
580-340-7235
Fax Number
Provider Enumeration Date
08/22/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
300 W Cherokee Ave Ste 102
City
Enid
State
Oklahoma
Zip
73701-5600
Phone Number
580-340-7235
Fax Number
person
Provider Business Mailing Address Details
Address
300 W Cherokee Ave Ste 102
City
Enid
State
Oklahoma
Zip
73701-5600
Phone Number
580-340-7235
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
6723 (Oklahoma)
Definition
Definition to come...
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