Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | 7585 | OK |
N | 225C00000X | Rehabilitation Counselor |
NPI | 1316481054 |
---|---|
Provider Name | Godlove Chuu Gwaabe |
First Address | Oklahoma City, OK 73106-6834 |
Second Address | Oklahoma City, OK 73106-6834 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2016 |
Last Update Date | 17/06/2021 |