Individual provider · Type 1 NPI
Deandria Elaine Rideau, PSYCHOTHERAPIST
Mental Health Counselor · Choctaw, OK
NPI number
1720287428
Active
Practice location
810 Turtle Creek Dr
Choctaw, OK 73020-7433
Fax (405) 848-5619
Mailing address
2701 N Oklahoma Ave
Oklahoma City, OK 73105-2724
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1720287428
Deandria Elaine Rideau, PSYCHOTHERAPIST's National Provider Identifier is 1720287428, issued on Jul 12, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Choctaw, OK. The record was last updated on Apr 14, 2023.