Individual
MR. GERALD WAYNE ATCHLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MHR, LPC
Contact information
Practice address
20866 W. 71 ST, SAND SPRINGS, OK 74063
(918) 637-4389
Mailing address
20866 W. 71 ST, SAND SPRINGS, OK 74063
(918) 637-4389
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2622
OK
Other
Enumeration date
06/12/2007
Last updated
06/17/2010
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