Individual
MRS. MYELIA GERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3621 N KELLEY AVE, SUIT 100, OKLAHOMA CITY, OK 73111-4520
(405) 524-5525
(405) 524-5528
Mailing address
14300 N PENNSYLVANIA AVE, 278, OKLAHOMA CITY, OK 73134-6066
(405) 343-7102
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
101YA0400X
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100742980A
—
OK
Enumeration date
09/24/2014
Last updated
09/24/2014
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