Individual
ANN MARIE PASSARELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN, LPC
Contact information
Practice address
4913 W RENO AVE, OKLAHOMA CITY, OK 73127-6339
(405) 948-4900
(405) 948-4933
Mailing address
4913 W RENO AVE, OKLAHOMA CITY, OK 73127-6339
(405) 948-4900
(405) 948-4933
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
716
OK
101YP2500X
Professional Counselor
Primary
3845
OK
164W00000X
Licensed Practical Nurse
37454
OK
Other
Enumeration date
10/07/2008
Last updated
03/10/2021
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