person
Mrs. Mona Gay Brenneman, BSINSOCIALWORK
Mental Health Counselor in Ponca City, Oklahoma
NPI 1669506416

Mona Gay Brenneman is a Mental Health Counselor based in Ponca City, OK and is specialized in Mental Health. Mona Gay Brenneman practices in Ponca City, OK and has the professional credentials of BSINSOCIALWORK. The NPI Number for Mona Gay Brenneman is 1669506416 and holds a License No. 00815 (Oklahoma).

The current practice location address for Mona Gay Brenneman is 407 W South Ave, Ponca City, OK and can be reached out via phone at 580-749-5056 and via fax at 580-215-5756. You can also correspond with Mona Gay Brenneman through the mailing address at 407 W SOUTH AVE, PONCA CITY, OK - 74601-6133 (mailing address contact number: 580-749-5056).

Location: 407 W South Ave, Ponca City, OK, 74601-6133
person
Provider Profile Details
NPI Number
1669506416
Provider Name
Mona Gay Brenneman
Credential
BSINSOCIALWORK
Provider Entity Type
Individual
Gender
Female
Address
407 W South Ave, Ponca City, OK, 74601-6133
Phone Number
580-749-5056
Fax Number
580-215-5756
Provider Enumeration Date
03/15/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
407 W South Ave
City
State
Zip
74601-6133
Phone Number
580-749-5056
Fax Number
580-215-5756
person
Provider Business Mailing Address Details
Address
407 W South Ave
City
State
Zip
74601-6133
Phone Number
580-749-5056
Fax Number
580-215-5756
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
03353 (Kansas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
1028 (Oklahoma)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
00815 (Kansas)
Definition
Definition to come...
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