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NPI Code Detail

MEDICARE: DIANNA JURENA

MEDICARE: DIANNA JURENA
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
1101YP2500XProfessional Counselor2893OK

General Provider Information

NPI Number : 1740322437
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANNA JURENA
Provider Business Mailing Address
First Line : 2202 E 49TH ST STE 400
Second Line :
City : TULSA
State : OK
Zip : 74105-8714
Country : US
Telephone Number : 918-645-7681
Fax Number : 918-749-1841
Provider Business Practice Location Address
First Line : 2202 E 49TH ST STE 400
Second Line :
City : TULSA
State : OK
Zip : 74105-8714
Country : US
Telephone Number : 918-645-7681
Fax Number : 918-749-1841
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2007
Last Update Date : 12/29/2023

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Directions to “ DIANNA JURENA ” Practice Location

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