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Ms. Trista Deeann Gannon
Mental Health Counselor in Ardmore, Oklahoma
NPI 1386991016

Trista Deeann Gannon is a Mental Health Counselor based in Ardmore, OK and is specialized in Mental Health. Trista Deeann Gannon practices in Ardmore, OK. The NPI Number for Trista Deeann Gannon is 1386991016 and holds a License No. (Oklahoma).

The current practice location address for Trista Deeann Gannon is 32 N Washington St, Ardmore, OK and can be reached out via phone at 580-226-5209.

Location: 32 N Washington St, Ardmore, OK, 73402-1546
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386991016
Provider Name
Trista Deeann Gannon
Credential
Provider Entity Type
Individual
Gender
Female
Address
32 N Washington St, Ardmore, OK, 73402-1546
Phone Number
580-226-5209
Fax Number
Provider Enumeration Date
08/13/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
32 N Washington St
City
Ardmore
State
Oklahoma
Zip
73401-7013
Phone Number
580-226-5209
Fax Number
person
Provider Business Mailing Address Details
Address
32 N Washington St
City
Ardmore
State
Oklahoma
Zip
73401-7013
Phone Number
580-226-5209
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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