| Forward Momentum | |
|
1600 E 15th St Ste 503 Edmond OK 73013-6690 | |
| (405) 293-2440 | |
| Not Available |
| Full Name | Forward Momentum |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1600 E 15th St Ste 503, Edmond, Oklahoma |
| Authorized Official Name and Position | Jennifer Long (OWNER) |
| Authorized Official Contact | 4053702413 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forward Momentum 3412 Baird Dr Edmond OK 73013-6327 Ph: (405) 831-3202 | Forward Momentum 1600 E 15th St Ste 503 Edmond OK 73013-6690 Ph: (405) 293-2440 |
| NPI Number | 1346704996 |
|---|---|
| Provider Enumeration Date | 01/29/2019 |
| Last Update Date | 01/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346704996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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