person
Dr. Jimmy Noel Gardner, PHD
Mental Health Counselor in Talihina, Oklahoma
NPI 1831246867

Jimmy Noel Gardner is a Mental Health Counselor based in Talihina, OK and is specialized in Mental Health. Jimmy Noel Gardner practices in Talihina, OK and has the professional credentials of PHD. The NPI Number for Jimmy Noel Gardner is 1831246867 and holds a License No. 0000001795 (Oklahoma).

The current practice location address for Jimmy Noel Gardner is 1 Choctaw Way, Talihina, OK and can be reached out via phone at 918-649-0406.

Location: 1 Choctaw Way, Talihina, OK, 74571-2022
person
Provider Profile Details
NPI Number
1831246867
Provider Name
Jimmy Noel Gardner
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
1 Choctaw Way, Talihina, OK, 74571-2022
Phone Number
918-649-0406
Fax Number
Provider Enumeration Date
01/04/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
74120000 01 TN MAGELLAN HEALTH
410 3815 01 TN BLUE CROSS BLUE SHIELD
7712661 01 TN AETNA
institution
Provider Business Practice Location Address Details
Address
1 Choctaw Way
City
State
Zip
74571-2022
Phone Number
918-649-0406
Fax Number
person
Provider Business Mailing Address Details
Address
1 Choctaw Way
City
State
Zip
74571-2022
Phone Number
918-649-0406
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0000001795 (Tennessee)
Definition
Definition to come...
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