MRS. MONA GAY BRENNEMAN BS IN SOCIAL WORK NPI 1669506416

NPI Information

NPI: 1669506416
Provider Name: MRS. MONA GAY BRENNEMAN, BS IN SOCIAL WORK
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
407 W SOUTH AVE
PONCA CITY, OK
ZIP 74601
Phone: (580) 749-5056
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MRS. Mona Gay Brenneman, BS IN SOCIAL WORK is a mental health counselor in Ponca City, OK. MRS. Mona Gay Brenneman, BS IN SOCIAL WORK NPI is 1669506416. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

407 W SOUTH AVE
PONCA CITY, OK
ZIP 74601-133
Phone: (580) 749-5056
Fax: (580) 215-5756

The enumeration date for this NPI number is 3/15/2007 and was last updated on 1/11/2023.

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)	00815	KANSAS	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	1028	OKLAHOMA	No
3	101YP2500X	Counselor	Professional	03353	KANSAS	No
4	101YM0800X	Counselor	Mental Health	5910	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: 4/28/2024

NPI Synchronization or Removal

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