NPI 1104553320 · live from the CMS NPI Registry
Jennifer Cothran, M.S.
Marriage & Family Therapist in Stillwater, OK. National Provider Identifier 1104553320, active.
NPI record
| NPI | 1104553320 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 1020 N Boomer Rd Ste B, Stillwater, OK 74075 |
| Practice phone | 405-937-0023 |
| Mailing address | 707 N Dryden Cir, Stillwater, OK 74075 |
| Enumerated | August 7, 2022 |
| Last updated | August 7, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.