Most Relevant Information
Provider Data
| NPI Number: | 1003505942 |
| Provider Name: | STEPHANIE A. JENNINGS LPC-CANDIDATE |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 11463 |
Most Important Dates
| Enumeration Date: | 05/05/2023 |
| Last Updated: | 05/05/2023 |
Provider Practice Location
1605 N HARRISON ST
SHAWNEE
OK
748044022
Practice Location Phone/Fax
| Phone: | 4054817187 |
| Fax: | 4054817219 |
Provider Mailing Location
1605 N HARRISON ST
SHAWNEE
OK
748044022
Provider Mailing Phone/Fax
| Phone: | 4054817187 |
| Fax: |