Provider Demographics
NPI:1790878643
Name:CACY REFFNER, BRENDA H (LPC)
Entity Type:Individual
Prefix:
First Name:BRENDA
Middle Name:H
Last Name:CACY REFFNER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 851864
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73085-1864
Mailing Address - Country:US
Mailing Address - Phone:405-517-3467
Mailing Address - Fax:405-594-4735
Practice Address - Street 1:207 S CZECH HALL RD
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-6851
Practice Address - Country:US
Practice Address - Phone:405-517-3467
Practice Address - Fax:405-594-4735
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK987101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional