Individual
MRS. GWYNETTE MARIA CHANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS. M.ED, LPC
Contact information
Practice address
124 E 6TH ST, PAWHUSKA, OK 74056-4204
(918) 604-6054
(918) 777-9018
Mailing address
124 E 6TH ST, PAWHUSKA, OK 74056-4204
(918) 604-6054
(918) 777-9018
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
6487
OK
Other
Enumeration date
04/09/2007
Last updated
02/09/2022
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