Individual
MRS. GAYE LABETH BACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
106 S GRAND ST, CRESCENT, OK 73028-0068
(405) 823-5314
(405) 969-3887
Mailing address
PO BOX 68, CRESCENT, OK 73028-0068
(405) 823-5314
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5714
OK
101YS0200X
School Counselor
160531
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200509560B
—
OK
Enumeration date
09/04/2013
Last updated
11/20/2024
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