Individual
JEANA TIGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33207 45TH ST, SHAWNEE, OK 74804-3423
(405) 432-4132
Mailing address
33007 45TH ST, SHAWNEE, OK 74804-3429
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6497
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/19/2015
Last updated
07/12/2021
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