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Individual

ERIN GOSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, LADC

Contact information

Practice address
215 STATE ST STE 401, MUSKOGEE, OK 74401-6626
(908) 683-8827
(918) 686-0902
Mailing address
215 STATE ST STE 401, MUSKOGEE, OK 74401-6626
(918) 683-8827
(918) 686-0902

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1048
OK
101YP2500X
Professional Counselor
Primary
4980
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200527080A
OK
Enumeration date
02/16/2011
Last updated
10/01/2022
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