Individual
TRACIE GILLISPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC CAND.
Contact information
Practice address
23 N 8TH ST, DUNCAN, OK 73533-4601
(580) 656-0265
Mailing address
808 PALM DR, DUNCAN, OK 73533-3326
(580) 656-0265
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
5018
OK
Other
Enumeration date
12/13/2010
Last updated
09/20/2022
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