Individual
MARIE GUNDLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCP, LPC
Contact information
Practice address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5108
(405) 424-7711
Mailing address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5108
(405) 424-7711
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3493
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200378530B
—
OK
Enumeration date
06/06/2007
Last updated
06/08/2022
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