Guajardo, Jenny Leah
Guajardo, Jenny Leah is an sole proprietor health care provider with primary practice located at 601 N Randall Ave , Elk City OK 73644-3345. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Guajardo, Jenny Leah can be contacted via phone (580) 243-9218.Contact Information
Primary practice address
601 N Randall Ave
Elk City OK 73644-3345
Phone: (580) 243-9218
Fax: (844) 270-5692
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 4536 | Oklahoma |
Profile Details
| NPI number | 1952632747 |
|---|---|
| LBN Legal business name | Guajardo, Jenny Leah |
| Credentials | M.ED., LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 19th, 2010 |
| Last updated | Aug 10th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952632747 | NPPES |
| Oklahoma | MEDICAID | 200400490A |
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