Individual
MICHAEL DEAN REANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3005 NW 14TH ST, OKLAHOMA CITY, OK 73107-4710
(830) 309-9805
Mailing address
3005 NW 14TH ST, OKLAHOMA CITY, OK 73107-4710
(830) 309-9805
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0000000
OK
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/11/2017
Last updated
10/19/2022
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