Harris, Jennifer Ann

Harris, Jennifer Ann is an individual health care provider with primary practice located at 1200 S Air Depot Blvd Ste 0 , Midwest City OK 73110-4866. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Harris, Jennifer Ann can be contacted via phone (347) 224-0993.

Contact Information

Primary practice address
1200 S Air Depot Blvd Ste 0 Midwest City OK 73110-4866
Phone: (347) 224-0993
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0019858 Colorado
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1548447725
LBN Legal business name Harris, Jennifer Ann
Credentials LPC-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2008
Last updated Dec 5th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548447725 NPPES
Oklahoma MEDICAID 100742400

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