Provider Demographics
NPI:1043746829
Name:AKE, JANET RENEE'
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:RENEE'
Last Name:AKE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1127 N KICKAPOO AVE
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:OK
Mailing Address - Zip Code:74801-4845
Mailing Address - Country:US
Mailing Address - Phone:405-214-0116
Mailing Address - Fax:
Practice Address - Street 1:2600 VAN BUREN ST STE 2602
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-5609
Practice Address - Country:US
Practice Address - Phone:405-625-7579
Practice Address - Fax:405-857-7812
Is Sole Proprietor?:No
Enumeration Date:2017-05-11
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist