Randall, Breanna Rose

Randall, Breanna Rose is an individual health care provider with primary practice located at 932 W State Highway 152 , Mustang OK 73064-2301. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Randall, Breanna Rose can be contacted via phone (405) 577-5477.

Contact Information

Primary practice address
932 W State Highway 152 Mustang OK 73064-2301
Phone: (405) 577-5477
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 11319 Oklahoma

Profile Details

NPI number 1457833279
LBN Legal business name Randall, Breanna Rose
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2018
Last updated Feb 17th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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