Provider Demographics
NPI:1881921906
Name:HILL, JENNIFER D (LPC)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:D
Last Name:HILL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:JENNIFER
Other - Middle Name:D
Other - Last Name:GRIFFIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1012
Mailing Address - Street 2:
Mailing Address - City:ANTLERS
Mailing Address - State:OK
Mailing Address - Zip Code:74523-1012
Mailing Address - Country:US
Mailing Address - Phone:508-271-7080
Mailing Address - Fax:580-298-2081
Practice Address - Street 1:193 908 US HWY 271
Practice Address - Street 2:
Practice Address - City:ANTLERS
Practice Address - State:OK
Practice Address - Zip Code:74523-2055
Practice Address - Country:US
Practice Address - Phone:580-271-7080
Practice Address - Fax:580-298-2081
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-10
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5826101Y00000X
101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor