Individual
HANNAH GAYLORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
904 NW 4TH ST, STIGLER, OK 74462-1653
(918) 967-8223
Mailing address
904 NW 4TH ST, STIGLER, OK 74462-1653
(918) 967-8223
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OK
101YM0800X
Mental Health Counselor
—
OK
101YP2500X
Professional Counselor
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46-2943756
—
OK
Enumeration date
04/29/2024
Last updated
04/29/2024
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