Provider Demographics
NPI:1720310899
Name:RENTZ, CECILIA (M ED, LPC)
Entity type:Individual
Prefix:
First Name:CECILIA
Middle Name:
Last Name:RENTZ
Suffix:
Gender:F
Credentials:M ED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:374 N 4250 RD
Mailing Address - Street 2:
Mailing Address - City:HUGO
Mailing Address - State:OK
Mailing Address - Zip Code:74743-3650
Mailing Address - Country:US
Mailing Address - Phone:903-272-0224
Mailing Address - Fax:
Practice Address - Street 1:263 E COURT ST
Practice Address - Street 2:
Practice Address - City:ATOKA
Practice Address - State:OK
Practice Address - Zip Code:74525-2016
Practice Address - Country:US
Practice Address - Phone:903-272-0224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-01
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)