Individual provider · Type 1 NPI

Gina Marice Frazier, LPC

Mental Health Counselor · Tishomingo, OK

NPI number 1770852295 Active

Practice location

Outpatient Services- Tishomingo, 817 E. 6th St.
Tishomingo, OK 73460

Call (580) 371-2361 Map

Mailing address

Resource Management, 210 E. Main St.
Ada, OK 74820

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X07331 (OK)

Mental Health Counselor: Definition to come...

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About NPI 1770852295

Gina Marice Frazier, LPC's National Provider Identifier is 1770852295, issued on Dec 29, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tishomingo, OK. The record was last updated on Dec 23, 2024.