Doctor Name: | MR. GARY LEE SINNES |
NPI Number: | 1316374309 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LADC |
License Number: | 496 |
Business Practice Address: | 8124 E Industrial Rd Guthrie, OK - 730446816 |
Business Phone Number: | 4053341571 |
Business Fax Number: | |
Mailing Address: | 8124 E Industrial Rd, GUTHRIE |
State: | OK |
Postal Code: | 730446816 |
Phone Number: | 4053341571 |
Fax Number: | |
NPI Enumeration Date: | 10/04/2013 |
NPI Last Update Date: | 10/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 496 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |