Individual
SARAH LEANNE GANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1108 N, WHEELER AVENUE, SALLISAW, OK 74955
(918) 775-5513
(918) 775-5526
Mailing address
1130 JESS DRIVE, SALLISAW, OK 74955
(918) 571-8710
(479) 452-5047
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
11023
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200766110
—
OK
Enumeration date
09/05/2013
Last updated
09/17/2024
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