IndividualActive
Jeniece Bridgforth, LPC- CANDIDATE
NPI 1669639720 · Mental Health Counselor · Mcloud, OK
Provider details
- NPI number
- 1669639720
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LPC- CANDIDATE
- Sex
- Female
- Sole proprietor
- No
- License
- 13313 (OK)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
12617 S Mcloud Rd
Mcloud, OK 74851-8509
Phone: (405) 481-4755
Approximate (ZIP-level) locationGet directions
Mailing address
12617 S Mcloud Rd
Mcloud, OK 74851-8509
Registry dates
- Enumerated
- 2008-05-16
- Last updated
- 2026-03-23
- Certified
- 2026-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.