| Jennifer Cheatham, Lpc | |
|
400 Timmons St. Seminole OK 74868 | |
| (405) 220-7165 | |
| (405) 382-2890 |
| Full Name | Jennifer Cheatham, Lpc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 400 Timmons St., Seminole, Oklahoma |
| Authorized Official Name and Position | Jennifer L Cheatham (DIRECTOR) |
| Authorized Official Contact | 4052207165 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Cheatham, Lpc 1731 Lewis Ave Seminole OK 74868-3615 Ph: (405) 220-7165 | Jennifer Cheatham, Lpc 400 Timmons St. Seminole OK 74868 Ph: (405) 220-7165 |
| NPI Number | 1750050217 |
|---|---|
| Provider Enumeration Date | 09/08/2021 |
| Last Update Date | 09/10/2021 |
| Certification Date | 09/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750050217 | NPI | - | NPPES |
| 200723390B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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