Most Relevant Information
Provider Data
| NPI Number: | 1003325671 |
| Provider Name: | DARIAN N GATES |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/26/2017 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
101 N UNION AVE
SHAWNEE
OK
748017067
Practice Location Phone/Fax
| Phone: | 4052757100 |
| Fax: |
Provider Mailing Location
101 N UNION AVE
SHAWNEE
OK
748017067
Provider Mailing Phone/Fax
| Phone: | 4052757100 |
| Fax: |