MRS. Tina Renee Gilmore, MS

NPI #1144535758 in Ada, Oklahoma

Provider Information

NPI Number
1144535758
Entity Type
Individual
Name
MRS. Tina Renee Gilmore, MS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
MS
Enumeration Date
Aug 9, 2010
Last Updated
Aug 9, 2010

Practice Location

Address
704 N OAK AVE STE 20
City
Ada
ZIP Code
74820-3267
Phone
(580) 332-3001

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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