Individual provider · Type 1 NPI

Jessica Pendergraft

Mental Health Counselor · Enid, OK

NPI number 1659771996 Active

Practice location

300 W Cherokee Ave Ste 102
Enid, OK 73701-5600

Mailing address

615 Amy Dr
Waukomis, OK 73773-1033

Other practice locations

  • 615 Amy Dr, Waukomis, OK 73773-1033 · (580) 478-5035

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6723 (OK)

Mental Health Counselor: Definition to come...

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About NPI 1659771996

Jessica Pendergraft's National Provider Identifier is 1659771996, issued on Aug 22, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Enid, OK. The record was last updated on Nov 2, 2023.