MEDICARE: JANA LEE NEUFELD MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1669769105
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANA LEE NEUFELD MSW

Provider Business Mailing Address
First Line	:	12600 N ROCKWELL AVE UNIT 15
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73142-2705
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4001 N CLASSEN BLVD STE 230
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73118-2643
Country	:	US
Telephone Number	:	405-513-3725
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2011
Last Update Date	:	08/05/2025

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