Individual provider · Type 1 NPI

Jerry Fennell

Mental Health Counselor · Claremore, OK

NPI number 1982919684 Active

Practice location

12005 E 470 Rd
Claremore, OK 74017-3737

Call (918) 342-0770 Map

Fax (918) 342-0087

Mailing address

114 W Delaware Ave
Nowata, OK 74048-2601

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1982919684

Jerry Fennell's National Provider Identifier is 1982919684, issued on Aug 18, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Claremore, OK. The record was last updated on Aug 18, 2010.