Healthcare Provider Details

I. General information

NPI: 1932026978
Provider Name (Legal Business Name): JENNIFER LINN MILLER LPC CANDIDATE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 W CHEROKEE AVE STE 102
ENID OK
73701-5600
US

IV. Provider business mailing address

300 W CHEROKEE AVE STE 102
ENID OK
73701-5600
US

V. Phone/Fax

Practice location:
  • Phone: 580-340-7235
  • Fax: 580-324-6324
Mailing address:
  • Phone: 580-340-7235
  • Fax: 580-324-6324

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLPCCANDIDATE12551
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: