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Contact Information

JEANNE D BLACK, M.ED., LPC, LADC
4400 N LINCOLN BLVD
OKLAHOMA CITY, OK73105-5108
 Phone: 405-424-7711
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for JEANNE D BLACK · (Female)

NPI # 1114245305
Status Active
Credentials M.ED., LPC, LADC
Entity Individual
Enumeration date 05/12/2010
Last updated 10/22/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 1022
  • OK License # 2534
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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