Individual provider · Type 1 NPI
Lara Jernigan
Professional Counselor · Chickasha, OK
NPI number
1114393436
Active
Practice location
205 W Chickasha Ave, Suite 1
Chickasha, OK 73018-2690
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1114393436
Lara Jernigan's National Provider Identifier is 1114393436, issued on Aug 20, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chickasha, OK. The record was last updated on Aug 20, 2015.