MEDICARE: JAMEE ALNETA GREENWOOD MASTERS DEGREE

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	5802	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5802	OTHER	OK	STATE LICENSE

General Provider Information

NPI Number	:	1770609372
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMEE ALNETA GREENWOOD MASTERS DEGREE

Provider Business Mailing Address
First Line	:	1418 LINWOOD BLVD
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73106-5022
Country	:	US
Telephone Number	:	405-209-8400
Fax Number	:

Provider Business Practice Location Address
First Line	:	1418 LINWOOD BLVD
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73106-5022
Country	:	US
Telephone Number	:	405-209-8400
Fax Number	:

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

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	12/17/2020

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