Provider Demographics
NPI:1407109788
Name:GOKEY, VAL GENE (MED)
Entity Type:Individual
Prefix:MR
First Name:VAL
Middle Name:GENE
Last Name:GOKEY
Suffix:
Gender:M
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 SHADY GROVE RD
Mailing Address - Street 2:
Mailing Address - City:MCLOUD
Mailing Address - State:OK
Mailing Address - Zip Code:74851-8152
Mailing Address - Country:US
Mailing Address - Phone:405-964-2793
Mailing Address - Fax:
Practice Address - Street 1:32 SHADY GROVE RD
Practice Address - Street 2:
Practice Address - City:MCLOUD
Practice Address - State:OK
Practice Address - Zip Code:74851-8152
Practice Address - Country:US
Practice Address - Phone:405-964-2793
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-23
Last Update Date:2012-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK146192 L101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool