Individual
REBECCA CINNAMON ROYBAL-GOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17675 S MUSKOGEE AVE, TAHLEQUAH, OK 74464-5492
(918) 453-5555
Mailing address
2105 BRENDA AVE, TAHLEQUAH, OK 74464-6321
(191) 884-0939
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103T00000X
Psychologist
Primary
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TH0100X
Health Service Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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