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Miss Jeniece Ann Bridgforth, CADCUNDERSUPERVISIO
Addiction (Substance Use Disorder) Counselor in Oklahoma City, Oklahoma
NPI 1669639720

Jeniece Ann Bridgforth is an Addiction (Substance Use Disorder) Counselor based in Oklahoma City, OK and is specialized in Addiction (Substance Use Disorder). Jeniece Ann Bridgforth practices in Oklahoma City, OK and has the professional credentials of CADCUNDERSUPERVISIO. The NPI Number for Jeniece Ann Bridgforth is 1669639720 and holds a License No. (Oklahoma).

The current practice location address for Jeniece Ann Bridgforth is 2701 N Oklahoma Ave, Oklahoma City, OK and can be reached out via phone at 405-528-8686 and via fax at 405-528-8692.

Location: 2701 N Oklahoma Ave, Oklahoma City, OK, 73105-2724
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Provider Profile Details
NPI Number
1669639720
Provider Name
Jeniece Ann Bridgforth
Credential
CADCUNDERSUPERVISIO
Provider Entity Type
Individual
Gender
Female
Address
2701 N Oklahoma Ave, Oklahoma City, OK, 73105-2724
Phone Number
405-528-8686
Fax Number
405-528-8692
Provider Enumeration Date
05/16/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100742400F 05 OK
100742400 B 05 OK
institution
Provider Business Practice Location Address Details
Address
2701 N Oklahoma Ave
City
State
Zip
73105-2724
Phone Number
405-528-8686
Fax Number
405-528-8692
person
Provider Business Mailing Address Details
Address
2701 N Oklahoma Ave
City
State
Zip
73105-2724
Phone Number
405-528-8686
Fax Number
405-528-8692
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
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Definition
Definition to come...
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