Individual provider · Type 1 NPI

Kenneth Lynn Gandy, MS, LPC

Mental Health Counselor · Ada, OK

NPI number 1225069925 Active

Practice location

1300 Hoppe Blvd Ste 5
Ada, OK 74820-2319

Call (580) 436-1222 Map

Fax (580) 436-1333

Mailing address

1300 Hoppe Blvd Ste 1
Ada, OK 74820-2319

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X1738 (OK)

Mental Health Counselor: Definition to come...

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About NPI 1225069925

Kenneth Lynn Gandy, MS, LPC's National Provider Identifier is 1225069925, issued on Jul 5, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ada, OK. The record was last updated on Sep 18, 2018.