| Organization Name: | COUNSELING SERVICES OF EL RENO |
| NPI Number: | 1225220312 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LINDA KAY FARLOW WHITTENBERG (LICENSED PSYCHOLOGIST) |
| Mailing Address: | 212 Sunset Dr El Reno |
| State: | OK US |
| Postal Code: | 730362664 |
| Phone Number: | 4052623102 |
| Fax Number: | 4052620212 |
| NPI Enumeration Date: | 08/14/2007 |
| NPI Last Update Date: | 08/14/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | 698 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |