Individual
MRS. KAITLYN RENEE ROEDL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-C
Contact information
Practice address
501 N WALKER AVE STE 140, OKLAHOMA CITY, OK 73102-1233
(405) 841-4800
Mailing address
301 S DALLAS AVE, MOORE, OK 73160-2346
(405) 831-3317
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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