| Gerard Mondestin, | |
|
405 E Excelsior Ave, Vinita, OK 74301-4226 | |
| (918) 256-6476 | |
| Not Available |
| Full Name | Gerard Mondestin |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 405 E Excelsior Ave, Vinita, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710302898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 7124 (Oklahoma) | Secondary |
| 101YP2500X | Counselor - Professional | 2013043958 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gerard Mondestin, 405 E Excelsior Ave, Vinita, OK 74301-4226 Ph: (918) 256-6476 | Gerard Mondestin, 405 E Excelsior Ave, Vinita, OK 74301-4226 Ph: (918) 256-6476 |
Chrystal Brassfield, MS Counselor Medicare: Medicare Enrolled Practice Location: 405 E Excelsior Ave, Vinita, OK 74301 Phone: 918-256-6476 Fax: 918-256-3628 | |
Anthony Goodell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 E Excelsior Ave, Vinita, OK 74301 Phone: 918-256-6476 Fax: 918-256-3628 | |
Melanie K Phillips, Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 East Excelsior, Vinita, OK 74301 Phone: 918-256-6476 Fax: 918-256-3628 | |
Dorsey Ramsey, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 East Excelsior, Vinita, OK 74301 Phone: 918-256-6476 Fax: 918-256-3628 | |
Betty F Showler, MAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22253 S 4370 Rd, Vinita, OK 74301 Phone: 918-244-6416 | |
Jonathan Brodrick, Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 E Excelsior Ave, Vinita, OK 74301 Phone: 918-256-6476 Fax: 918-256-3628 | |
Mrs. Shalaina Dunn, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 E Excelsior Ave, Vinita, OK 74301 Phone: 844-458-2100 Fax: 918-256-9890 |