Individual
MICHELLE DAVIS GANNAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
805 NW 72ND ST STE 8, OKLAHOMA CITY, OK 73116-7147
(405) 570-4603
Mailing address
3117 YORK DR, EDMOND, OK 73034-0408
(405) 570-4603
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2837
OK
Other
Enumeration date
08/19/2020
Last updated
01/22/2026
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