Individual provider · Type 1 NPI

Gertrude Grace Haynes

Mental Health Counselor · Wagoner, OK

NPI number 1366918914 Active

Practice location

2109 S Highway 69
Wagoner, OK 74467-9310

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1366918914

Gertrude Grace Haynes's National Provider Identifier is 1366918914, issued on Oct 22, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wagoner, OK. The record was last updated on Oct 22, 2018.