Organization
JEANINE SOMERS, LLC
Active
Other names
Jeanine Ridener
Organization subpart
No
Provider details
NPI number
Authorized official
JEANINE L RIDENER LMFT (OWNER)
(405) 326-1772
Entity
Organization
Contact information
Practice address
3839 S BOULEVARD STE 200, EDMOND, OK 73013-5495
(405) 326-1772
Mailing address
3839 S BOULEVARD STE 200, EDMOND, OK 73013-5495
(405) 326-1772
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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