Individual provider · Type 1 NPI

Gay Fontaina Willis, BHRS CM

Counselor · Edmond, OK

NPI number 1083932859 Active

Practice location

1015 Waterwood Pkwy, G-N2
Edmond, OK 73034-5327

Fax (405) 285-1652

Mailing address

225 Cambridge Dr
Midwest City, OK 73110-3464

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1083932859

Gay Fontaina Willis, BHRS CM's National Provider Identifier is 1083932859, issued on May 4, 2010. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Edmond, OK. The record was last updated on Mar 21, 2012.