Individual
JORDAN GRUENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 W MAIN ST, NORMAN, OK 73069-1307
(405) 919-6821
(405) 701-5843
Mailing address
625 E ELDER LN, MUSTANG, OK 73064-4617
(405) 596-0178
(405) 701-5843
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/19/2010
Last updated
01/19/2010
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