Julia Gonzales
Individual provider Active NPI Counselor · Guymon, OK
NPI 1013244698 · NPPES record last updated Nov 3, 2009
Key facts
- NPI
- 1013244698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 306 NW 5TH St
Guymon, OK 73942-4240 - Phone
- (580) 338-2117
- Fax
- (580) 338-1262
- NPI assigned
- Nov 3, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Plains Youth & Family Services, Inc. | Past | Accepting new patients | |
| Western Plains Youth & Family Services, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
306 NW 5TH St
Guymon, OK 73942-4240
Mailing address
306 NW 5TH St
Guymon, OK 73942-4240
Phone (580) 338-2117
Other providers in Guymon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.