Jordan Gruenberg
Counselor, Mental Health in Norman, OK. Individual provider (NPI-1).
NPI number1487985271
StatusActive
Last updated in NPPESJan 19, 2010
Details
- NPI
- 1487985271
- Entity type
- Individual (NPI-1)
- Name
- Jordan Gruenberg
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 19, 2010
- Last updated
- Jan 19, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
116 W Main StNorman, OK 73069-1307
Phone 405-919-6821 · Fax 405-701-5843
Mailing address
625 E Elder LnMustang, OK 73064-4617
Phone 405-596-0178 · Fax 405-701-5843
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