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Organization

NEW BALANCE SERVICES,

Active
Other names
New Balance Counseling and Services
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JEFFREY KEITH JENKINS I LPC, LMFT (THERAPIST)
(405) 328-3620
Entity
Organization

Contact information

Practice address
1625 CAMDEN WAY, EDMOND, OK 73013-2942
(405) 328-3620
Mailing address
1625 CAMDEN WAY, EDMOND, OK 73013-2942
(405) 328-3620

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
OK
101YM0800X
Mental Health Counselor
OK
101YP2500X
Professional Counselor
Primary
OK
101YS0200X
School Counselor
OK
103TA0700X
Adult Development & Aging Psychologist
OK
103TB0200X
Cognitive & Behavioral Psychologist
OK
103TF0000X
Family Psychologist
OK
106H00000X
Marriage & Family Therapist
OK

Other

Enumeration date
05/02/2013
Last updated
05/02/2013
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