Individual
MS. CHANNA RENFROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 NE 5TH ST, OKLAHOMA CITY, OK 73117-2441
(405) 232-0509
Mailing address
1301 NE 5TH ST, OKLAHOMA CITY, OK 73117-2441
(405) 232-0509
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
Other
Enumeration date
03/22/2011
Last updated
03/22/2011
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