Individual
ANDREA JEAN WILLIS-REDNOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4401 NW 4TH ST, OKLAHOMA CITY, OK 73107-6562
(405) 601-1716
Mailing address
4401 NW 4TH ST, OKLAHOMA CITY, OK 73107-6562
(405) 601-1716
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/31/2011
Last updated
05/31/2011
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