Provider Demographics
NPI:1962700906
Name:ARREDONDO, RENEA LYNN (MS)
Entity type:Individual
Prefix:
First Name:RENEA
Middle Name:LYNN
Last Name:ARREDONDO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1802 E FARRALL
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:OK
Mailing Address - Zip Code:74801-8134
Mailing Address - Country:US
Mailing Address - Phone:405-255-1879
Mailing Address - Fax:405-878-5558
Practice Address - Street 1:2227 W LINDSEY ST STE 1550
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-4075
Practice Address - Country:US
Practice Address - Phone:405-360-2133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-28
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health