MR. GORDON RAY WHITEWOLF LBP NPI 1891940045

NPI Information

NPI: 1891940045
Provider Name: MR. GORDON RAY WHITEWOLF, LBP
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
101 RIVERSIDE DRIVE
RIVERSIDE INDIAN SCHOOL
ANADARKO, OK
ZIP 73005
Phone: (405) 247-6670
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MR. Gordon Ray Whitewolf, LBP is a mental health counselor in Anadarko, OK. MR. Gordon Ray Whitewolf, LBP NPI is 1891940045. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

101 RIVERSIDE DRIVE
RIVERSIDE INDIAN SCHOOL
ANADARKO, OK
ZIP 73005
Phone: (405) 247-6670
Fax: (405) 247-2029

The enumeration date for this NPI number is 12/1/2008 and was last updated on 12/1/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	386	OKLAHOMA	No
2	101YM0800X	Counselor	Mental Health	0216	OKLAHOMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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