Individual provider · Type 1 NPI
Renee Nicole Sansom
Mental Health Counselor · Edmond, OK
NPI number
1609168392
Active
Practice location
414 Timberwind Rd
Edmond, OK 73034-3109
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1609168392
Renee Nicole Sansom's National Provider Identifier is 1609168392, issued on May 12, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Edmond, OK. The record was last updated on May 12, 2011.