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Jennifer R Wagoner
Mental Health Counselor in Durant, Oklahoma
NPI 1700159860

Jennifer R Wagoner is a Mental Health Counselor based in Durant, OK and is specialized in Mental Health. Jennifer R Wagoner practices in Durant, OK. The NPI Number for Jennifer R Wagoner is 1700159860 and holds a License No. (Oklahoma).

The current practice location address for Jennifer R Wagoner is 1604 N Washington Ave, Durant, OK and can be reached out via phone at 580-920-0909.

Location: 1604 N Washington Ave, Durant, OK, 74701-2128
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700159860
Provider Name
Jennifer R Wagoner
Credential
Provider Entity Type
Individual
Gender
Female
Address
1604 N Washington Ave, Durant, OK, 74701-2128
Phone Number
580-920-0909
Fax Number
Provider Enumeration Date
02/20/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1604 N Washington Ave
City
Durant
State
Oklahoma
Zip
74701-2128
Phone Number
580-920-0909
Fax Number
person
Provider Business Mailing Address Details
Address
1604 N Washington Ave
City
Durant
State
Oklahoma
Zip
74701-2128
Phone Number
580-920-0909
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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