MRS. Nikita Ranae Gough, MA

NPI #1295098820 in Claremore, Oklahoma

Provider Information

NPI Number: 1295098820
Entity Type: Individual
Name: MRS. Nikita Ranae Gough, MA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: MA
Enumeration Date: Jun 19, 2012
Last Updated: Nov 20, 2019

Practice Location

Address: 12005 E 470 RD
City: Claremore
State: Oklahoma
ZIP Code: 74017-3737
Phone: (918) 342-0770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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