MEDICARE: CELANA JEAN HILL CASE MANAGER

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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1659622009
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CELANA JEAN HILL CASE MANAGER

Provider Business Mailing Address
First Line	:	9777 N COUNCIL RD APT 631
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73162-5551
Country	:	US
Telephone Number	:	405-361-9272
Fax Number	:

Provider Business Practice Location Address
First Line	:	9777 N COUNCIL RD APT 631
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73162-5551
Country	:	US
Telephone Number	:	405-361-9272
Fax Number	:

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

Provider Enumeration Date	:	09/25/2012
Last Update Date	:	09/25/2012

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