MEDICARE: JANNA WESTMORELAND MORGAN M.S.

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	101YM0800X	Mental Health Counselor	3460	OK
2	101YP2500X	Professional Counselor	3460	OK

General Provider Information

NPI Number	:	1174693204
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANNA WESTMORELAND MORGAN M.S.

Provider Business Mailing Address
First Line	:	20341 E 195TH ST S
Second Line	:
City	:	HASKELL
State	:	OK
Zip	:	74436-2213
Country	:	US
Telephone Number	:	918-521-1193
Fax Number	:

Provider Business Practice Location Address
First Line	:	20341 E 195TH ST S
Second Line	:
City	:	HASKELL
State	:	OK
Zip	:	74436-2213
Country	:	US
Telephone Number	:	918-521-1193
Fax Number	:

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

Provider Enumeration Date	:	11/08/2006
Last Update Date	:	03/08/2023

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