Jennifer Conner Ii, | |
14453 Se 29th St Ste D, Choctaw, OK 73020-6543 | |
(405) 741-2844 | |
(405) 733-1334 |
Full Name | Jennifer Conner Ii |
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Gender | Female |
Speciality | Counselor |
Location | 14453 Se 29th St Ste D, Choctaw, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043437163 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | Poyner Mental Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740845361 PECOS PAC ID: 1153779145 Enrollment ID: O20231201001081 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Conner Ii, 54311 Moccasin Trail Rd, Prague, OK 74864-1121 Ph: () - | Jennifer Conner Ii, 14453 Se 29th St Ste D, Choctaw, OK 73020-6543 Ph: (405) 741-2844 |
Dr. Kelly Michelle Collins, PH. D., LPC NCC RPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 15803 Ne 23rd St # B, Choctaw, OK 73020 Phone: 405-639-9999 | |
Mr. Jack L. Fortenberry, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 14625 Ne 23rd Street, Choctaw, OK 73020 Phone: 405-390-8131 Fax: 405-390-8134 | |
Torion Jones-deberry, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2909 Maupin St, Choctaw, OK 73020 Phone: 405-889-8696 | |
Ms. Anna M Hatchell, MHR Counselor Medicare: Not Enrolled in Medicare Practice Location: 14625 Ne 23rd St, Choctaw, OK 73020 Phone: 405-390-8131 Fax: 405-390-8134 | |
Mrs. Lindsey Sanders, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14625 Ne 23rd St, Choctaw, OK 73020 Phone: 405-390-8131 | |
Jo Whitney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2895 Hawkin, Choctaw, OK 73020 Phone: 405-808-2605 |