Individual
GINA LYNN WHISENHUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBP
Contact information
Practice address
17 S CENTRAL AVE, IDABEL, OK 74745-4625
(580) 286-5184
(580) 286-5185
Mailing address
153 WHISENHUNT DR, GILLHAM, AR 71841-9323
(870) 584-6991
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0328
OK
Other
Enumeration date
09/29/2006
Last updated
07/26/2010
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