Organization
FORWARD MOMENTUM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LONG MA, LPC (OWNER)
(405) 370-2413
Entity
Organization
Contact information
Practice address
1600 E 15TH ST STE 503, EDMOND, OK 73013-6690
(405) 293-2440
Mailing address
3412 BAIRD DR, EDMOND, OK 73013-6327
(405) 831-3202
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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