Provider Demographics
NPI:1679607436
Name:ANGUIANO, TRENNA RENEE (MCP IN PSYCHOLOGY)
Entity Type:Individual
Prefix:MRS
First Name:TRENNA
Middle Name:RENEE
Last Name:ANGUIANO
Suffix:
Gender:F
Credentials:MCP IN PSYCHOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 12978
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73157-2978
Mailing Address - Country:US
Mailing Address - Phone:580-334-2520
Mailing Address - Fax:580-256-3500
Practice Address - Street 1:2617 GENERAL PERSHING BLVD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73107-6437
Practice Address - Country:US
Practice Address - Phone:580-334-2520
Practice Address - Fax:580-256-3500
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2017-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)