Individual provider · Type 1 NPI

Marissa Jordyn Gough

Counselor · Altus, OK

NPI number 1891389722 Active

Practice location

111 Sequoyah Ln
Altus, OK 73521-1756

Call (580) 379-0203 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X11721 (OK)

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 1891389722

Marissa Jordyn Gough's National Provider Identifier is 1891389722, issued on Feb 22, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Altus, OK. The record was last updated on Apr 16, 2025.