Provider Demographics
NPI:1316266125
Name:DRUMGO, ENSIE (MS)
Entity type:Individual
Prefix:MRS
First Name:ENSIE
Middle Name:
Last Name:DRUMGO
Suffix:
Gender:F
Credentials:MS
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 181
Mailing Address - Street 2:
Mailing Address - City:ADA
Mailing Address - State:OK
Mailing Address - Zip Code:74821-0181
Mailing Address - Country:US
Mailing Address - Phone:580-332-4370
Mailing Address - Fax:
Practice Address - Street 1:901 W 18TH ST
Practice Address - Street 2:
Practice Address - City:ADA
Practice Address - State:OK
Practice Address - Zip Code:74820-7423
Practice Address - Country:US
Practice Address - Phone:580-436-6130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-19
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor