person
Juanita Gates
Addiction (Substance Use Disorder) Counselor in Wewoka, Oklahoma
NPI 1851952048

Juanita Gates is an Addiction (Substance Use Disorder) Counselor based in Wewoka, OK and is specialized in Addiction (Substance Use Disorder). Juanita Gates practices in Wewoka, OK. The NPI Number for Juanita Gates is 1851952048 and holds a License No. (Oklahoma).

The current practice location address for Juanita Gates is 101 E St, Wewoka, OK and can be reached out via phone at 405-658-8051.

Location: 101 E St, Wewoka, OK, 74884-6600
person
Provider Profile Details
NPI Number
1851952048
Provider Name
Juanita Gates
Credential
Provider Entity Type
Individual
Gender
Female
Address
101 E St, Wewoka, OK, 74884-6600
Phone Number
405-658-8051
Fax Number
Provider Enumeration Date
06/27/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D082460821 05 OK
D082460821 01 OK DL
institution
Provider Business Practice Location Address Details
Address
101 E St
City
State
Zip
74884-6600
Phone Number
405-658-8051
Fax Number
person
Provider Business Mailing Address Details
Address
101 E St
City
State
Zip
74884-6600
Phone Number
405-658-8051
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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