Individual
KANDIS S GATEWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5108
(405) 424-7711
Mailing address
3205 NW 21ST ST, OKLAHOMA CITY, OK 73107-3011
(405) 245-9036
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1510
OK
Other
Enumeration date
03/15/2007
Last updated
10/28/2021
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