Individual
MR. GARY AUSTIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BHRS
Contact information
Practice address
2401 NW 39TH, SUITE 103, OKLAHOMA CITY, OK 73112
(405) 557-1655
(405) 525-0677
Mailing address
2401 NW 39TH, SUITE 103, OKLAHOMA CITY, OK 73112
(405) 557-1655
(405) 525-0677
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
103K00000X
Behavior Analyst
—
OK
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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