Individual
RONDA JANETTE WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
901 S BROADWAY, HOBART, OK 73651-1834
(580) 726-3383
(580) 726-3384
Mailing address
RR 2 BOX 248, FORT COBB, OK 73038-9314
(405) 668-0147
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4194
OK
101YP2500X
Professional Counselor
Primary
4194
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093897415
—
OK
Enumeration date
01/04/2012
Last updated
01/04/2012
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