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Organization

GILLISPIE COUNSELING SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TRACIE GILLISPIE LPC (DIRECTOR)
(405) 437-4497
Entity
Organization

Contact information

Practice address
23 N 8TH ST, DUNCAN, OK 73533-4601
(580) 606-6577
(855) 253-2083
Mailing address
23 N 8TH ST, DUNCAN, OK 73533-4601
(405) 437-4497
(855) 253-2083

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
5018
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200539560
OK
Enumeration date
05/19/2014
Last updated
09/21/2022
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