person
Renita L Broades, LPC
Mental Health Counselor in Ardmore, Oklahoma
NPI 1720287741

Renita L Broades is a Mental Health Counselor based in Ardmore, OK and is specialized in Mental Health. Renita L Broades practices in Ardmore, OK and has the professional credentials of LPC. The NPI Number for Renita L Broades is 1720287741 and holds a License No. 2643 (Oklahoma).

The current practice location address for Renita L Broades is 301 W Main St Ste 328, Ardmore, OK and can be reached out via phone at 580-220-4011. You can also correspond with Renita L Broades through the mailing address at 3450 N COMMERCE ST APT 202, ARDMORE, OK - 73401-1530 (mailing address contact number: ).

Location: 301 W Main St Ste 328, Ardmore, OK, 73401-1530
person
Provider Profile Details
NPI Number
1720287741
Provider Name
Renita L Broades
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
301 W Main St Ste 328, Ardmore, OK, 73401-1530
Phone Number
580-220-4011
Fax Number
Provider Enumeration Date
07/11/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
301 W Main St Ste 328
City
State
Zip
73401-6322
Phone Number
580-220-4011
Fax Number
person
Provider Business Mailing Address Details
Address
3450 N Commerce St Apt 202
City
State
Zip
73401-1530
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2643 (Oklahoma)
Definition
Definition to come...
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