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Donna Renie Pettibone
Counselor in Enid, Oklahoma
NPI 1811365034

Donna Renie Pettibone is a Counselor based in Enid, OK. Donna Renie Pettibone practices in Enid, OK. The NPI Number for Donna Renie Pettibone is 1811365034 and holds a License No. (Oklahoma).

The current practice location address for Donna Renie Pettibone is 1625 W Owen K Garriott Rd, Enid, OK and can be reached out via phone at 580-242-4673 and via fax at 580-242-4679.

Location: 1625 W Owen K Garriott Rd, Enid, OK, 73703-5653
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811365034
Provider Name
Donna Renie Pettibone
Credential
Provider Entity Type
Individual
Gender
Female
Address
1625 W Owen K Garriott Rd, Enid, OK, 73703-5653
Phone Number
580-242-4673
Fax Number
580-242-4679
Provider Enumeration Date
09/03/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1625 W Owen K Garriott Rd
City
Enid
State
Oklahoma
Zip
73703-5653
Phone Number
580-242-4673
Fax Number
580-242-4679
person
Provider Business Mailing Address Details
Address
1625 W Owen K Garriott Rd
City
Enid
State
Oklahoma
Zip
73703-5653
Phone Number
580-242-4673
Fax Number
580-242-4679
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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