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

TaxonomyCodeLicense
Counselor Primary 101Y00000XNONE

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.