person
Mr. Gordon Ray Whitewolf, LBP
Mental Health Counselor in Anadarko, Oklahoma
NPI 1891940045

Gordon Ray Whitewolf is a Mental Health Counselor based in Anadarko, OK and is specialized in Mental Health. Gordon Ray Whitewolf practices in Anadarko, OK and has the professional credentials of LBP. The NPI Number for Gordon Ray Whitewolf is 1891940045 and holds a License No. 386 (Oklahoma).

The current practice location address for Gordon Ray Whitewolf is 101 Riverside Drive, Anadarko, OK and can be reached out via phone at 405-247-6670 and via fax at 405-247-2029.

Location: 101 Riverside Drive, Anadarko, OK, 73005
person
Provider Profile Details
NPI Number
1891940045
Provider Name
Gordon Ray Whitewolf
Credential
LBP
Provider Entity Type
Individual
Gender
Male
Address
101 Riverside Drive, Anadarko, OK, 73005
Phone Number
405-247-6670
Fax Number
405-247-2029
Provider Enumeration Date
12/01/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
101 Riverside Drive
City
State
Zip
73005
Phone Number
405-247-6670
Fax Number
405-247-2029
person
Provider Business Mailing Address Details
Address
101 Riverside Drive
City
State
Zip
73005
Phone Number
405-247-6670
Fax Number
405-247-2029
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
0216 (Oklahoma)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
386 (Oklahoma)
Definition
Definition to come...
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