Individual
DANDRA KAYE RENTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
624 NW 5TH STREET, MOORE, OK 73160
(405) 912-3871
(405) 799-0912
Mailing address
P.O. BOX 5062, NORMAN, OK 73070-5062
(405) 447-3728
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LADC--603
OK
101YM0800X
Mental Health Counselor
Primary
LADC--603
OK
Other
Enumeration date
04/02/2007
Last updated
09/11/2025
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