Provider Demographics
NPI:1225233950
Name:HARDING - YALKA, JENNIFER ELIZABETH MUNDE (BA, BHRS, CM, RSS)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:ELIZABETH MUNDE
Last Name:HARDING - YALKA
Suffix:
Gender:F
Credentials:BA, BHRS, CM, RSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 NW 25TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73106-5629
Mailing Address - Country:US
Mailing Address - Phone:405-525-2525
Mailing Address - Fax:405-524-3549
Practice Address - Street 1:1215 NW 25TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73106-5629
Practice Address - Country:US
Practice Address - Phone:405-525-2525
Practice Address - Fax:405-524-3549
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-21
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health