Jerry Fennell

NPI #1982919684 in Claremore, Oklahoma

Provider Information

NPI Number
1982919684
Entity Type
Individual
Name
Jerry Fennell
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Enumeration Date
Aug 18, 2010
Last Updated
Aug 18, 2010

Practice Location

Address
12005 E 470 RD
ZIP Code
74017-3737
Phone
(918) 342-0770

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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