Jeremy Louis Fenner, MHPP
NPI #1255565826 in Mountain Home, Arkansas
Provider Information
- NPI Number
- 1255565826
- Entity Type
- Individual
- Name
- Jeremy Louis Fenner, MHPP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Credential
- MHPP
- Enumeration Date
- May 11, 2009
- Last Updated
- May 11, 2009
Practice Location
- Address
- 727 HIGHWAY 62 E
- Address 2
- STE 4
- City
- Mountain Home
- State
- Arkansas
- ZIP Code
- 72653-3209
- Phone
- (870) 425-8642
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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