Jason Gerhard, RSS
Clinic/Center, Mental Health (Including Community Mental Health Center) in Ponca City, OK. Individual provider (NPI-1).
NPI number1619707908
StatusActive
Last updated in NPPESAug 2, 2024
Details
- NPI
- 1619707908
- Entity type
- Individual (NPI-1)
- Name
- Jason Gerhard
- Credential
- RSS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 2, 2024
- Certification date
- Aug 2, 2024
- Last updated
- Aug 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
620 W Grand AvePonca City, OK 74601-5123
Phone 580-762-1462 · Fax 581-765-7299
Mailing address
620 W Grand AvePonca City, OK 74601-5123
Phone 580-762-1462
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All 9 Mental Health Clinic/Center (Including Community Mental Health Center) providers in Ponca City · All 924 providers in Ponca City
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