| Mr Gordon Ray Whitewolf, LBP | |
|
101 Riverside Drive, Riverside Indian School, Anadarko, OK 73005 | |
| (405) 247-6670 | |
| (405) 247-2029 |
| Full Name | Mr Gordon Ray Whitewolf |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 101 Riverside Drive, Anadarko, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891940045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 386 (Oklahoma) | Secondary |
| 101YM0800X | Counselor - Mental Health | 0216 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Gordon Ray Whitewolf, LBP 101riverside Drive, Anadarko, OK 73005 Ph: (405) 247-6670 | Mr Gordon Ray Whitewolf, LBP 101 Riverside Drive, Riverside Indian School, Anadarko, OK 73005 Ph: (405) 247-6670 |
Kenneth Rex Heddlesten, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 E Broadway St, Anadarko, OK 73005 Phone: 405-247-9777 Fax: 405-247-9778 | |
Nathan Chase Widener, Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 E Broadway St, Anadarko, OK 73005 Phone: 405-247-5437 Fax: 405-247-9778 | |
Lavonne Lee Rounds, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Riverside Dr, Anadarko, OK 73005 Phone: 405-247-6874 Fax: 405-247-2091 | |
Krisztina Szabo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 801 W Texas Ave, Anadarko, OK 73005 Phone: 915-355-3028 |