Individual
DANIELLE NICOLE GANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5909 SE 71ST ST, OKLAHOMA CITY, OK 73135-1919
(405) 412-1110
Mailing address
5909 SE 71ST ST, OKLAHOMA CITY, OK 73135-1919
(405) 412-1110
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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