Individual ProviderJeanette HensonCounselorBehavioral Health & Social Service ProvidersPractice Address6801 S Western Ave Ste 205, Oklahoma City, OK 73139-1816(405) 821-6447(405) 830-0055PECOS EnrollmentBased on the most recent information from CMS, provider Jeanette Henson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1619441334Provider TypeIndividualFull NameHenson, JeanetteGenderFemaleSole ProprietorNoEnumeration Date1/15/2019Last Updated1/15/2019Contact InformationPractice LocationPractice Address6801 S Western Ave Ste 205, Oklahoma City, OK 73139-1816Phone(405) 821-6447FaxUnlisted FaxMailing LocationMailing Address3436 Mount Mitchell Ln, Norman, OK 73069-3108Phone(405) 830-0055FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer