Individual
GARY CHARLES SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
1101 E MONROE AVE, MCALESTER, OK 74501-4815
(918) 426-7800
Mailing address
11 W APACHE AVE, MCALESTER, OK 74501-5708
(918) 429-1932
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/16/2007
Last updated
08/08/2008
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