Provider Demographics
NPI:1437382538
Name:TREMBLAY, RONALD JOSEPH (LPC, BCC)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:JOSEPH
Last Name:TREMBLAY
Suffix:
Gender:M
Credentials:LPC, BCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3360 S. ALLEGHENY AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135
Mailing Address - Country:US
Mailing Address - Phone:918-760-2209
Mailing Address - Fax:918-384-0004
Practice Address - Street 1:3360 S. ALLEGHENY AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135
Practice Address - Country:US
Practice Address - Phone:918-760-2209
Practice Address - Fax:918-384-0004
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-24
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK114477374K00000X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374K00000XNursing Service Related ProvidersReligious Nonmedical Practitioner
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health