Individual provider · Type 1 NPI
Shawnnessy Jiwa, J.D.
Counselor · Choctaw, OK
NPI number
1689050585
Active
Practice location
15211 NE 36th St
Choctaw, OK 73020-9032
Fax (888) 651-6707
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1689050585
Shawnnessy Jiwa, J.D.'s National Provider Identifier is 1689050585, issued on Aug 3, 2015. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Choctaw, OK. The record was last updated on Aug 3, 2015.