Individual provider · Type 1 NPI

Jennifer Matlock-Boggs, M.ED

Mental Health Counselor · Oklahoma City, OK

NPI number 1629308259 Active

Practice location

4400 N Lincoln Blvd
Oklahoma City, OK 73105-5108

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XMHC-607 (HI)
Mental Health Counselor Primary 101YM0800XLPC04799 (OK)

Mental Health Counselor: Definition to come...

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About NPI 1629308259

Jennifer Matlock-Boggs, M.ED's National Provider Identifier is 1629308259, issued on Jan 4, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oklahoma City, OK. The record was last updated on Sep 21, 2023.