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HILDA NJENNE AGEH

Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder)

Provider NPI: 1730523689

Provider Information:
 HILDA NJENNE AGEH 
Gender: F
Not Sole Proprietor

Practice Location:
600 N BLACKWELDER AVE  EDMOND, OK 73034-5165 US
Tel: 405-424-2114  Fax: --

Business Mailing Address:
600 N BLACKWELDER AVE  EDMOND, OK 73034-5167 US
Tel: --  Fax: --

NPI Information:
NPI: 1730523689
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 101YA0400X

Type:

Classification:



Definition:



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