Individual
MARISSA REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1724 NW 4TH ST, OKLAHOMA CITY, OK 73106-2609
(405) 824-3114
Mailing address
1618 NW 12TH ST, OKLAHOMA CITY, OK 73106-4636
(405) 418-9676
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/02/2024
Last updated
08/03/2026
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