Individual
MS. JAN K. FEUERBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
123 E TONHAWA ST, SUITE 100, NORMAN, OK 73069-7209
(405) 627-4608
(405) 701-3399
Mailing address
123 E TONHAWA ST, SUITE 100, NORMAN, OK 73069-7209
(405) 627-4608
(405) 701-3399
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3307
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200345190A
—
OK
Enumeration date
03/11/2010
Last updated
10/01/2015
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