Jennifer Ann Kelly in Yukon - Counselor

Jennifer Ann Kelly - NPI 1760688766

Jennifer Ann Kelly is a Counselor in Yukon, Oklahoma. Jennifer Ann Kelly practices all healthcare services and medical treatments related to Counselor. The NPI Number for Jennifer Ann Kelly is 1760688766. The last update date is 2011-06-27.

Jennifer Ann Kelly's current location address is 1424 Chimney Hill Rd, Yukon, Oklahoma. You can contact this provider via phone number 4056401973. The mailing address for Jennifer Ann Kelly is 1424 Chimney Hill Rd, Yukon, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer Ann Kelly
Address 1424 Chimney Hill Rd, Yukon, Oklahoma
Phone Number 4056401973
Fax Number
Sole Proprietor Y
Credentials MS LPC

NPI Number Detail

NPI Number 1760688766
Provider Enumeration Date 2007-06-26
Last Updated Date 2011-06-27

Provider Mailing Address Detail

Address 1424 Chimney Hill Rd
City Yukon
State Oklahoma (OK)
Post Code 730993107
Phone Number 4056401973
Fax Number

Provider's Primary Taxonomy Detail

Speciality Counselor
Taxonomy 101Y00000X
Definition:
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10 OK BEHAVIORAL HEALTH AND SOC

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FAQs about Jennifer Ann Kelly

What is the unique 10-digit identifier code issued to Jennifer Ann Kelly by the Centers for Medicare & Medicaid Services?

The Jennifer Ann Kelly has been assigned the NPI (National Provider Identifier) 1760688766 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Jennifer Ann Kelly is geographically located?

The Jennifer Ann Kelly is physically situated at the following location: 1424 Chimney Hill Rd, Yukon, OK, 730993107.

What is Jennifer Ann Kelly's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jennifer Ann Kelly's specialized field of practice is Counselor, and the corresponding taxonomy code that categorizes this area of specialization is 101Y00000X.

When did Jennifer Ann Kelly receive its 1760688766 assignment?

The Jennifer Ann Kelly was assigned its 1760688766 on 2007-06-26, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Jennifer Ann Kelly most recently updated or revised?

The information pertaining to Jennifer Ann Kelly, including its address, specialty, and other relevant details, was last updated or revised on 2011-06-27.

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