Provider Demographics
NPI:1003176264
Name:GURUNG, SABINA (MPH)
Entity Type:Individual
Prefix:
First Name:SABINA
Middle Name:
Last Name:GURUNG
Suffix:
Gender:F
Credentials:MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4400 N LINCOLN BLVD
Mailing Address - Street 2:RED ROCK BEHAVIORAL HEALTH SERVICES
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73105-5104
Mailing Address - Country:US
Mailing Address - Phone:405-425-4096
Mailing Address - Fax:405-425-0315
Practice Address - Street 1:4400 N LINCOLN BLVD
Practice Address - Street 2:RED ROCK BEHAVIORAL HEALTH SERVICES
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73105-5104
Practice Address - Country:US
Practice Address - Phone:405-425-4096
Practice Address - Fax:405-425-0315
Is Sole Proprietor?:No
Enumeration Date:2012-05-22
Last Update Date:2012-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health