Individual
RENEE MAXINE BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1120 E MAIN ST, NORMAN, OK 73071-5300
(405) 360-5100
Mailing address
17305 VITORIA DR, OKLAHOMA CITY, OK 73170-6644
(940) 631-7529
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
12218
OK
Other
Enumeration date
06/18/2024
Last updated
05/11/2026
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