Twenty-Nine 11 INC

NPI #1184085367 in Shawnee, Oklahoma

Provider Information

NPI Number: 1184085367
Entity Type: Organization
Organization Name: Twenty-Nine 11 INC
Primary Specialty: Counselor - Professional
Enumeration Date: Mar 15, 2016
Last Updated: Jan 21, 2022

Practice Location

Address: 44038 EAST 45TH ST
City: Shawnee
State: Oklahoma
ZIP Code: 74804-9683
Phone: (405) 827-2514

Authorized Official

Name: JILL J NEWMAN, LPC
Title: OWNER
Phone: (405) 337-0055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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