| Jennifer Kavanaugh Lcsw Llc | |
|
3035 Nw 63rd St Suite 200 Oklahoma City OK 73116-3632 | |
| (405) 613-0523 | |
| Not Available |
| Full Name | Jennifer Kavanaugh Lcsw Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 3035 Nw 63rd St, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Jennifer Kavanaugh (LCSW) |
| Authorized Official Contact | 4056130523 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Kavanaugh Lcsw Llc 3035 Nw 63rd St Suite 200 Oklahoma City OK 73116-3632 Ph: (405) 613-0523 | Jennifer Kavanaugh Lcsw Llc 3035 Nw 63rd St Suite 200 Oklahoma City OK 73116-3632 Ph: (405) 613-0523 |
| NPI Number | 1194108415 |
|---|---|
| Provider Enumeration Date | 07/06/2015 |
| Last Update Date | 07/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194108415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 2299 (Oklahoma) | Primary |
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