Individual
KATIE ROSENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, LPC CANDIDATE
Contact information
Practice address
17612 BLACK HAWK DR, EDMOND, OK 73012-7120
(918) 691-7598
Mailing address
17612 BLACK HAWK DR, EDMOND, OK 73012-7120
(918) 691-7598
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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