Fennell, Avery Joel

Fennell, Avery Joel is an individual health care provider with primary practice located at 2617 General Pershing Blvd , Oklahoma City OK 73107-6437. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Fennell, Avery Joel can be contacted via phone (405) 858-2700.

Contact Information

Primary practice address
2617 General Pershing Blvd Oklahoma City OK 73107-6437
Phone: (405) 858-2700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Oklahoma
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Oklahoma
Other Service Providers / Peer Specialist 175T00000X Oklahoma

Profile Details

NPI number 1013650225
LBN Legal business name Fennell, Avery Joel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2022
Last updated Apr 22nd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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