Individual provider · Type 1 NPI

Mona Gay Brenneman, BS IN PSYCHOLOGY

Professional Counselor · Ponca City, OK

NPI number 1669506416 Active

Practice location

407 W South Ave
Ponca City, OK 74601-6133

Call (580) 749-5056 Map

Fax (580) 215-5756

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X00815 (KS)
Addiction (Substance Use Disorder) Counselor 101YA0400X1028 (OK)
Professional Counselor 101YP2500X03353 (KS)
Professional Counselor Primary 101YP2500X05910 (OK)

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About NPI 1669506416

Mona Gay Brenneman, BS IN PSYCHOLOGY's National Provider Identifier is 1669506416, issued on Mar 15, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Ponca City, OK. The record was last updated on Aug 5, 2025.