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NPI Code Detail

MEDICARE: JENIFER NOLD COUNSELING

MEDICARE: JENIFER NOLD COUNSELING
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1912511163
Entity Type Code : Organization
Provider Name (Legal Business Name) : JENIFER NOLD COUNSELING
Provider Business Mailing Address
First Line : 8211 E REGAL PL STE 100
Second Line :
City : TULSA
State : OK
Zip : 74133-7181
Country : US
Telephone Number : 539-210-3847
Fax Number :
Provider Business Practice Location Address
First Line : 8211 E REGAL PL STE 100
Second Line :
City : TULSA
State : OK
Zip : 74133-7181
Country : US
Telephone Number : 539-210-3847
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JENIFER L NOLD
Credential : LPC
Telephone Number : 918-549-1384
Provider Enumeration Date : 09/04/2020
Last Update Date : 09/04/2020

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