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Jean Nmn Aboughazale
Mental Health Clinic/Center (Including Community Mental Health Center) in Shawnee, Oklahoma
NPI 1700561693

Jean Nmn Aboughazale is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Shawnee, OK and is specialized in Mental Health (Including Community Mental Health Center). Jean Nmn Aboughazale practices in Shawnee, OK. The NPI Number for Jean Nmn Aboughazale is 1700561693 and holds a License No. (Oklahoma).

The current practice location address for Jean Nmn Aboughazale is 429 N Union Ave, Shawnee, OK and can be reached out via phone at 405-275-1844 and via fax at 405-275-1124.

Location: 429 N Union Ave, Shawnee, OK, 74801-7064
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700561693
Provider Name
Jean Nmn Aboughazale
Credential
Provider Entity Type
Individual
Gender
Female
Address
429 N Union Ave, Shawnee, OK, 74801-7064
Phone Number
405-275-1844
Fax Number
405-275-1124
Provider Enumeration Date
06/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
429 N Union Ave
City
Shawnee
State
Oklahoma
Zip
74801-7064
Phone Number
405-275-1844
Fax Number
405-275-1124
person
Provider Business Mailing Address Details
Address
429 N Union Ave
City
Shawnee
State
Oklahoma
Zip
74801-7064
Phone Number
405-275-1844
Fax Number
405-275-1124
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(Oklahoma)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
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