| Doctor Name: | MRS. JENNIFER DAWN DURHAM |
| NPI Number: | 1033374996 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 4100 |
| Business Practice Address: | 11008 Farm Road 195 Paris, TX - 754621266 |
| Business Phone Number: | 9035174488 |
| Business Fax Number: | |
| Mailing Address: | 11008 Farm Road 195, PARIS |
| State: | TX |
| Postal Code: | 754621266 |
| Phone Number: | 9035174488 |
| Fax Number: | |
| NPI Enumeration Date: | 07/21/2008 |
| NPI Last Update Date: | 09/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 4100 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |