Individual
GINA MARICE FRAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
OUTPATIENT SERVICES- TISHOMINGO, 817 E. 6TH ST., TISHOMINGO, OK 73460
(580) 371-2361
Mailing address
RESOURCE MANAGEMENT, 210 E. MAIN ST., ADA, OK 74820
(580) 436-7211
(580) 272-5757
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
07331
OK
Other
Enumeration date
12/29/2011
Last updated
12/23/2024
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