Provider Demographics
NPI:1346232675
Name:SNOW, GAIL LYNN (MS LPC)
Entity type:Individual
Prefix:
First Name:GAIL
Middle Name:LYNN
Last Name:SNOW
Suffix:
Gender:F
Credentials:MS LPC
Other - Prefix:
Other - First Name:GAIL
Other - Middle Name:LYNN
Other - Last Name:BLAZI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:PO BOX 19039
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73144-0039
Mailing Address - Country:US
Mailing Address - Phone:405-713-5874
Mailing Address - Fax:405-713-5786
Practice Address - Street 1:2129 SW 59TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73119-7024
Practice Address - Country:US
Practice Address - Phone:405-713-5874
Practice Address - Fax:405-713-5786
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK033101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional