Individual provider · Type 1 NPI

Tina Renee Gilmore, MS

Addiction (Substance Use Disorder) Counselor · Ada, OK

NPI number 1144535758 Active

Practice location

704 N Oak Ave Ste 20
Ada, OK 74820-3267

Call (580) 332-3001 Map

Fax (580) 332-3652

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1144535758

Tina Renee Gilmore, MS's National Provider Identifier is 1144535758, issued on Aug 9, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ada, OK. The record was last updated on Aug 9, 2010.