Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | ||
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 569 | OK |
N | 101YP2500X | Professional Counselor | 1088 | SD |
N | 101YP2500X | Professional Counselor | 3633 | OK |
NPI | 1003933201 |
---|---|
Provider Name | Ms. Rhonda L. Winter |
First Address | Tulsa, OK 74105 |
Second Address | Tulsa, OK 74105 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2007 |
Last Update Date | 30/08/2017 |