Individual
MRS. RACHELLE DEANNE HARJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC, LPC,LADC/MH,RN
Contact information
Practice address
4900 RICHMOND SQ STE 107, OKLAHOMA CITY, OK 73118-2043
(405) 315-4990
Mailing address
7250 FALCON RDG, EDMOND, OK 73034-9068
(405) 315-4990
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
948
OK
101YM0800X
Mental Health Counselor
0073851
NM
101YM0800X
Mental Health Counselor
6814
OK
163W00000X
Registered Nurse
118884
OK
163W00000X
Registered Nurse
90266
NM
Other
Enumeration date
11/01/2006
Last updated
04/07/2019
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