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Miss Gay Fontaina Willis, BHRSCM
Counselor in Edmond, Oklahoma
NPI 1083932859

Gay Fontaina Willis is a Counselor based in Midwest City, OK. Gay Fontaina Willis practices in Edmond, OK and has the professional credentials of BHRSCM. The NPI Number for Gay Fontaina Willis is 1083932859 and holds a License No. (Oklahoma).

The current practice location address for Gay Fontaina Willis is 1015 Waterwood Pkwy, Edmond, OK and can be reached out via phone at 405-863-2224 and via fax at 405-285-1652.

Location: 1015 Waterwood Pkwy, Edmond, OK, 73110-3464
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083932859
Provider Name
Gay Fontaina Willis
Credential
BHRSCM
Provider Entity Type
Individual
Gender
Female
Address
1015 Waterwood Pkwy, Edmond, OK, 73110-3464
Phone Number
405-863-2224
Fax Number
405-285-1652
Provider Enumeration Date
05/04/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1015 Waterwood Pkwy
City
Edmond
State
Oklahoma
Zip
73034-5327
Phone Number
405-863-2224
Fax Number
405-285-1652
person
Provider Business Mailing Address Details
Address
1015 Waterwood Pkwy
City
Edmond
State
Oklahoma
Zip
73034-5327
Phone Number
405-863-2224
Fax Number
405-285-1652
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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