Individual provider · Type 1 NPI

Bertha Marie Gossett

Addiction (Substance Use Disorder) Counselor · Lawton, OK

NPI number 1447543848 Active

Practice location

602 SW 38th St
Lawton, OK 73505-6912

Mailing address

607 NW 13th St
Lawton, OK 73507-6525

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 1447543848

Bertha Marie Gossett's National Provider Identifier is 1447543848, issued on May 18, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lawton, OK. The record was last updated on May 18, 2011.