Individual
MS. RUTHYE MARISA HERRERA-CONAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
3000 UNITED FOUNDERS BLVD, SUITE 148, OKLAHOMA CITY, OK 73112-3958
(405) 823-2691
Mailing address
3105 ROYCE PL, YUKON, OK 73099-3396
(405) 823-2691
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
4290
OK
Other
Enumeration date
06/15/2007
Last updated
10/07/2010
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