Jennifer Erin Edmondson LPC, LADC, CMIII

NPI 1033404876 - Behavioral Analyst - 103K00000X

NPI Details
NPI 1033404876
Gender Female
Enumeration Date 06/09/2011
Last Updated 08/26/2013
Entity Type Individual
Active Over 5 years ago
Practice Location
1015 WATERWOOD PKWY
SUITE G, L-2
EDMOND OK, 73034-5327, US
Phone (405) 315-7093
Fax
Business Location
1015 WATERWOOD PKWY
SUITE G, L-2
EDMOND OK, 73034-5327, US
Phone (405) 315-7093
Fax
Toxanomy
Taxonomy Code 103K00000X
License State
License Number
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According to our database, Mrs. Jennifer Erin Edmondson LPC, LADC, CMIII NPI is 1033404876, taxonomy code is 103K00000X Jennifer Erin Edmondson LPC, LADC, CMIII physically located at 1015 Waterwood Pkwy, Edmond OK, 73034-5327. NPI Number Jennifer Erin Edmondson LPC, LADC, CMIII has the Individual type.

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1033404876 NPI number is provided on an as is basis without warranty of any kind. 1033404876 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer Erin Edmondson LPC, LADC, CMIII are for informational purposes only.