Individual
MARK GUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
1501 NE 11TH ST, OKLAHOMA CITY, OK 73117-2605
(405) 230-1129
(405) 424-2810
Mailing address
1815 W OKLAHOMA AVE, GUTHRIE, OK 73044-2238
(405) 293-9159
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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