Provider Demographics
NPI:1255142238
Name:GAONA, KASSANDRA (LMFT CANDIDATE)
Entity type:Individual
Prefix:
First Name:KASSANDRA
Middle Name:
Last Name:GAONA
Suffix:
Gender:F
Credentials:LMFT CANDIDATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8313 NW 7TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73127-4856
Mailing Address - Country:US
Mailing Address - Phone:918-404-6151
Mailing Address - Fax:
Practice Address - Street 1:4001 N CLASSEN BLVD STE 100
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73118-2648
Practice Address - Country:US
Practice Address - Phone:405-225-1891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-17
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist