Individual
REBECCA LYNNE KROEKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.H.R., L.P.C
Contact information
Practice address
1625 W OWEN K GARRIOTT RD, SUITE F, ENID, OK 73703-5653
(580) 242-4673
(580) 242-4679
Mailing address
2515 EDGEWOOD DR, ENID, OK 73703-1541
(580) 234-6781
(580) 242-4679
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3668
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0305581779
MENTAL HEALTH COUNSELOR
OK
Enumeration date
10/18/2006
Last updated
07/09/2007
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