Individual
MRS. GAIL M THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 N OAK ST, PONCA CITY, OK 74601-4238
(580) 491-9621
Mailing address
114 N OAK ST, PONCA CITY, OK 74601-4238
(580) 491-9621
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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