Individual
ERIC JASON GILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSM, M.DIV.
Contact information
Practice address
11032 QUAIL CREEK RD., STE. 265, OKLAHOMA CITY, OK 73120
(405) 751-8640
Mailing address
10819 BLUE SKY DR, MIDWEST CITY, OK 73130-2121
(405) 410-4474
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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