Individual
MRS. AMANDA MARIE RHYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC; SUBSTANCE A
Contact information
Practice address
THE CHICKASAW NATION RECOVERY RESOURCE SERVICES, 1300 HOPPE BLVD. SUITE 6, ADA, OK 74820
(580) 436-1222
(580) 235-0559
Mailing address
RESOURCE MANAGEMENT, 1300 HOPPE BLVD., SUITE 1, ADA, OK 74820
(580) 436-7211
(580) 272-5757
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
4918
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100646580E
—
OK
Enumeration date
01/20/2010
Last updated
09/19/2018
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