Tracey Middleton Jennings, MSW, LCSW, LADC
NPI #1124346317 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1124346317
- Entity Type
- Individual
- Name
- Tracey Middleton Jennings, MSW, LCSW, LADC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- MSW, LCSW, LADC
- Enumeration Date
- May 12, 2010
- Last Updated
- Jul 12, 2016
Practice Location
- Address
- 8937 S GARNETT RD
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-6004
- Phone
- (918) 872-9777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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