Individual
DR. MARY ELIZABETH GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
18905 E 22 RD, LAVERNE, OK 73848-4834
(580) 216-3847
Mailing address
18905 E 22 RD, LAVERNE, OK 73848-4834
(580) 216-3847
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
10474
OK
101YM0800X
Mental Health Counselor
0106
OK
101YM0800X
Mental Health Counselor
2167
OK
101YP2500X
Professional Counselor
00005033
CO
101YP2500X
Professional Counselor
Primary
10474
OK
101YP2500X
Professional Counselor
LPC.0005033
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2009294074A
—
OK
Enumeration date
05/06/2009
Last updated
04/03/2026
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