Individual
DR. JASON STUART GUNTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3224 SW 119TH ST, OKLAHOMA CITY, OK 73170-4548
(405) 759-3880
(405) 759-3882
Mailing address
3224 SW 119TH ST, STE A, OKLAHOMA CITY, OK 73170-4546
(405) 759-3880
(405) 759-3882
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
1013
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200075170A
—
OK
01
—
23727800173120A031
TRICARE
OK
01
—
7068560
AETNA
OK
Enumeration date
05/04/2006
Last updated
09/08/2022
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