Individual provider · Type 1 NPI

Jenna Bullen

Addiction (Substance Use Disorder) Counselor · Oklahoma City, OK

NPI number 1972260099 Active · reactivated Aug 22, 2024

Practice location

1737 Linwood Blvd
Oklahoma City, OK 73106-5033

Call (405) 706-8808 Map

Mailing address

9508 NW 89th St
Yukon, OK 73099-9308

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1972260099

Jenna Bullen's National Provider Identifier is 1972260099, issued on Nov 23, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Oklahoma City, OK. The record was last updated on Aug 23, 2024.