Provider Demographics
NPI:1679791057
Name:GEE, ZEN A (LPC)
Entity Type:Individual
Prefix:
First Name:ZEN
Middle Name:A
Last Name:GEE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 374
Mailing Address - Street 2:
Mailing Address - City:ANTLERS
Mailing Address - State:OK
Mailing Address - Zip Code:74523-0374
Mailing Address - Country:US
Mailing Address - Phone:580-298-5062
Mailing Address - Fax:580-298-9958
Practice Address - Street 1:608 HIGHWAY 271 N
Practice Address - Street 2:
Practice Address - City:ANTLERS
Practice Address - State:OK
Practice Address - Zip Code:74523-2055
Practice Address - Country:US
Practice Address - Phone:580-298-5062
Practice Address - Fax:580-298-9958
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2017-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3157101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200362020AMedicaid