MEDICARE: JENNA PARSONS, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	4785	OK

General Provider Information

NPI Number	:	1740699685
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JENNA PARSONS, PLLC

Provider Business Mailing Address
First Line	:	1100 LAUREL CREEK DR
Second Line	:
City	:	YUKON
State	:	OK
Zip	:	73099-5832
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	14001 MCAULEY BLVD STE 240
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73134-7006
Country	:	US
Telephone Number	:	405-250-6890
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CLINICIAN
Name	:	JENNA PARSONS
Credential	:	M.A., LPC
Telephone Number	:	405-250-6890

Provider Enumeration Date	:	08/05/2014
Last Update Date	:	08/05/2014

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