Individual provider · Type 1 NPI
Gina Roselette Childers, B.A.
Counselor · Pryor, OK
NPI number
1760718167
Active
Practice location
109 N Fairland St Ste 101
Pryor, OK 74361-4225
Fax (918) 825-2234
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | NONE |
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 1760718167
Gina Roselette Childers, B.A.'s National Provider Identifier is 1760718167, issued on Oct 20, 2009. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Pryor, OK. The record was last updated on Oct 20, 2009.