Twenty-Nine 11, Inc.

NPI #1235680984 in Shawnee, Oklahoma

Provider Information

NPI Number: 1235680984
Entity Type: Organization
Organization Name: Twenty-Nine 11, Inc.
Primary Specialty: Counselor
Enumeration Date: Oct 18, 2016
Last Updated: Oct 18, 2016

Practice Location

Address: 1605 N HARRISON ST
City: Shawnee
State: Oklahoma
ZIP Code: 74804-4022
Phone: (405) 765-3789

Authorized Official

Name: MRS. JILL JANAE NEWMAN, LPC
Title: LICENSED PROFESSIONAL COUNSELOR
Phone: (405) 401-5215

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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