Provider Demographics
NPI:1104135334
Name:KIEFER, RONDA J (LPC)
Entity type:Individual
Prefix:
First Name:RONDA
Middle Name:J
Last Name:KIEFER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2805 BLUE QUAIL PASS
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-8845
Mailing Address - Country:US
Mailing Address - Phone:405-834-0104
Mailing Address - Fax:405-608-6256
Practice Address - Street 1:3240 W BRITTON RD STE 201
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-2040
Practice Address - Country:US
Practice Address - Phone:405-834-0104
Practice Address - Fax:405-608-6256
Is Sole Proprietor?:No
Enumeration Date:2010-10-06
Last Update Date:2019-04-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK4308101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional