Individual provider · Type 1 NPI

Dandra Kaye Rentie, LADC

Mental Health Counselor · Moore, OK

NPI number 1730200692 Active

Practice location

624 NW 5th Street
Moore, OK 73160

Call (405) 912-3871 Map

Fax (405) 799-0912

Mailing address

P.o. Box 5062
Norman, OK 73070-5062

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLADC--603 (OK)
Addiction (Substance Use Disorder) Counselor 101YA0400XLADC--603 (OK)

Mental Health Counselor: Definition to come...

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About NPI 1730200692

Dandra Kaye Rentie, LADC's National Provider Identifier is 1730200692, issued on Apr 2, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Moore, OK. The record was last updated on Sep 11, 2025.