person
Gerard Mondestin
Professional Counselor in Vinita, Oklahoma
NPI 1710302898

Gerard Mondestin is a Professional Counselor based in Vinita, OK and is specialized in Professional. Gerard Mondestin practices in Vinita, OK. The NPI Number for Gerard Mondestin is 1710302898 and holds a License No. 7124 (Oklahoma).

The current practice location address for Gerard Mondestin is 405 E Excelsior Ave, Vinita, OK and can be reached out via phone at 918-256-6476. You can also correspond with Gerard Mondestin through the mailing address at 405 E EXCELSIOR AVE, VINITA, OK - 74301-4226 (mailing address contact number: 918-256-6476).

Location: 405 E Excelsior Ave, Vinita, OK, 74301-4226
person
Provider Profile Details
NPI Number
1710302898
Provider Name
Gerard Mondestin
Credential
Provider Entity Type
Individual
Gender
Male
Address
405 E Excelsior Ave, Vinita, OK, 74301-4226
Phone Number
918-256-6476
Fax Number
Provider Enumeration Date
02/25/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
405 E Excelsior Ave
City
State
Zip
74301-4226
Phone Number
918-256-6476
Fax Number
person
Provider Business Mailing Address Details
Address
405 E Excelsior Ave
City
State
Zip
74301-4226
Phone Number
918-256-6476
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
2013043958 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
7124 (Oklahoma)
Definition
Definition to come...
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