Individual provider · Type 1 NPI
Mary Elizabeth Gates, PhD
Professional Counselor · Laverne, OK
NPI number
1912131996
Active
Practice location
18905 E 22 Rd
Laverne, OK 73848-4834
Other practice locations
- 400 W Midland Ave Ste 275, Woodland Park, CO 80863-3204 · (719) 484-9334
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | 10474 (OK) |
| Professional Counselor | 101YP2500X | LPC.0005033 (CO) |
| Mental Health Counselor | 101YM0800X | 0106 (OK) |
| Mental Health Counselor | 101YM0800X | 2167 (OK) |
| Professional Counselor Primary | 101YP2500X | 10474 (OK) |
Professional Counselor: Definition to come...
About NPI 1912131996
Mary Elizabeth Gates, PhD's National Provider Identifier is 1912131996, issued on May 6, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Laverne, OK. The record was last updated on Apr 3, 2026.