Doctor Name: | MRS. CECILIA GAYE ZINNIKAS |
NPI Number: | 1760713721 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.P.C. OK#2869 |
License Number: | 2869 |
Business Practice Address: | 9756 E 400 Strang, OK - 743674271 |
Business Phone Number: | 9187347192 |
Business Fax Number: | 9185892700 |
Mailing Address: | Po Box 485, LANGLEY |
State: | OK |
Postal Code: | 743500485 |
Phone Number: | 9187347192 |
Fax Number: | 9185892700 |
NPI Enumeration Date: | 01/14/2010 |
NPI Last Update Date: | 07/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2869 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |