Organization
TWENTY-NINE 11 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL J NEWMAN LPC (OWNER)
(405) 337-0055
Entity
Organization
Contact information
Practice address
44038 EAST 45TH ST, SHAWNEE, OK 74804-9683
(405) 827-2514
(405) 584-4038
Mailing address
19501 S ROCK CREEK RD, SHAWNEE, OK 74801-9626
(405) 760-6638
(405) 481-7219
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5641
OK
Other
Enumeration date
03/15/2016
Last updated
01/21/2022
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