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Gertrude Grace Haynes
Mental Health Counselor in Wagoner, Oklahoma
NPI 1366918914

Gertrude Grace Haynes is a Mental Health Counselor based in Wagoner, OK and is specialized in Mental Health. Gertrude Grace Haynes practices in Wagoner, OK. The NPI Number for Gertrude Grace Haynes is 1366918914 and holds a License No. (Oklahoma).

The current practice location address for Gertrude Grace Haynes is 2109 S Highway 69, Wagoner, OK and can be reached out via phone at 918-708-3006.

Location: 2109 S Highway 69, Wagoner, OK, 74467-9310
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366918914
Provider Name
Gertrude Grace Haynes
Credential
Provider Entity Type
Individual
Gender
Female
Address
2109 S Highway 69, Wagoner, OK, 74467-9310
Phone Number
918-708-3006
Fax Number
Provider Enumeration Date
10/22/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2109 S Highway 69
City
Wagoner
State
Oklahoma
Zip
74467-9310
Phone Number
918-708-3006
Fax Number
person
Provider Business Mailing Address Details
Address
2109 S Highway 69
City
Wagoner
State
Oklahoma
Zip
74467-9310
Phone Number
918-708-3006
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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