Individual
MRS. CANDI DAWN TRENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LPC CANDIDATE
Contact information
Practice address
1303 LYNN LN, IDABEL, OK 74745-6845
(580) 286-7025
(580) 286-7436
Mailing address
902 E LINCOLN RD, IDABEL, OK 74745-7337
(580) 286-2600
(580) 286-1087
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3090200000X
—
OK
Enumeration date
06/04/2012
Last updated
06/04/2012
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