Individual
MR. DAMON L GUTHERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S., M.ED
Contact information
Practice address
504 E CARDINAL PL, MIDWEST CITY, OK 73130-2517
(405) 615-0706
Mailing address
504 E CARDINAL PL, MIDWEST CITY, OK 73130-2517
(405) 615-0706
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
OK
101YM0800X
Mental Health Counselor
—
—
101YS0200X
School Counselor
—
—
Other
Enumeration date
04/20/2010
Last updated
04/20/2010
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