Individual
SYITA TARRE RODRIGUEZ-BLASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
11901 N MACARTHUR BLVD STE D3, OKLAHOMA CITY, OK 73162-1855
(405) 492-7576
Mailing address
1316 NW 171ST ST, EDMOND, OK 73012-7420
(316) 214-8773
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
203572
TX
Other
Enumeration date
01/11/2020
Last updated
06/14/2024
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