Individual
MR. GARY E THORNHILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.M.F.T., L.A.D.C.
Contact information
Practice address
10204 HARVEST MOON AVE, OKLAHOMA CITY, OK 73162-4127
(405) 722-4178
Mailing address
10204 HARVEST MOON AVE, OKLAHOMA CITY, OK 73162-4127
(405) 722-4178
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
738
OK
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
04/17/2007
Last updated
09/22/2011
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