Gina Marice Frazier, LPC
NPI #1770852295 in Tishomingo, Oklahoma
Provider Information
- NPI Number
- 1770852295
- Entity Type
- Individual
- Name
- Gina Marice Frazier, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LPC
- Enumeration Date
- Dec 29, 2011
- Last Updated
- Dec 23, 2024
Practice Location
- Address
- OUTPATIENT SERVICES- TISHOMINGO
- Address 2
- 817 E. 6TH ST.
- City
- Tishomingo
- State
- Oklahoma
- ZIP Code
- 73460
- Phone
- (580) 371-2361
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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