| Doctor Name: | MS. G. DENISE PACE |
| NPI Number: | 1588808471 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MED |
| License Number: | 223 |
| Business Practice Address: | 430 N. W. 35 St Oklahoma, OK - 73118 |
| Business Phone Number: | 4055259426 |
| Business Fax Number: | 4055280707 |
| Mailing Address: | 430 Nw 35th St, OKLAHOMA CITY |
| State: | OK |
| Postal Code: | 731188602 |
| Phone Number: | 4055259426 |
| Fax Number: | 4055280707 |
| NPI Enumeration Date: | 04/23/2009 |
| NPI Last Update Date: | 04/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 223 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |