Individual provider · Type 1 NPI
Jason Gerhard, RSS
Mental Health Clinic/Center (Including Community Mental Health Center) · Ponca City, OK
NPI number
1619707908
Active
Practice location
620 W Grand Ave
Ponca City, OK 74601-5123
Fax (581) 765-7299
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1619707908
Jason Gerhard, RSS's National Provider Identifier is 1619707908, issued on Aug 2, 2024. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Ponca City, OK. The record was last updated on Aug 2, 2024.