Brenneman, Mona Gay

Brenneman, Mona Gay is an individual health care provider with primary practice located at 407 W South Ave , Ponca City OK 74601-6133. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Brenneman, Mona Gay can be contacted via phone (580) 749-5056.

Contact Information

Primary practice address
407 W South Ave Ponca City OK 74601-6133
Phone: (580) 749-5056
Fax: (580) 215-5756
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 00815 Kansas
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1028 Oklahoma
Behavioral Health & Social Service Providers / Professional 101YP2500X 03353 Kansas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 5910 Oklahoma

Profile Details

NPI number 1669506416
LBN Legal business name Brenneman, Mona Gay
Credentials BS IN SOCIAL WORK
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
Last updated Jan 11th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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