Provider Demographics
NPI:1750854840
Name:MCCAIN, JENNIFER HOPE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:HOPE
Last Name:MCCAIN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:517 RAMBLEWOOD TER
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-4340
Mailing Address - Country:US
Mailing Address - Phone:405-255-1197
Mailing Address - Fax:
Practice Address - Street 1:2500 S BROADWAY STE 128
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-4039
Practice Address - Country:US
Practice Address - Phone:405-633-3872
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-10
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator