| Renee P Young, Ms, Lmft, Llc | |
|
222 E Grand Ave Ste 300 Ponca City OK 74601-4316 | |
| (405) 939-0559 | |
| (580) 916-9538 |
| Full Name | Renee P Young, Ms, Lmft, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 222 E Grand Ave Ste 300, Ponca City, Oklahoma |
| Authorized Official Name and Position | Renee Pauline Young (OWNER) |
| Authorized Official Contact | 5803042069 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renee P Young, Ms, Lmft, Llc 2412 Donner Ave. Ponca City OK 74604 Ph: (580) 304-2069 | Renee P Young, Ms, Lmft, Llc 222 E Grand Ave Ste 300 Ponca City OK 74601-4316 Ph: (405) 939-0559 |
| NPI Number | 1275014847 |
|---|---|
| Provider Enumeration Date | 08/22/2018 |
| Last Update Date | 08/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275014847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1136 (Oklahoma) | Secondary |
| 106H00000X | Marriage & Family Therapist | 1136 (Oklahoma) | Primary |
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› Verified 7 days ago
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