person
Mrs. Tina Renee Gilmore, MS
Addiction (Substance Use Disorder) Counselor in Ada, Oklahoma
NPI 1144535758

Tina Renee Gilmore is an Addiction (Substance Use Disorder) Counselor based in Ada, OK and is specialized in Addiction (Substance Use Disorder). Tina Renee Gilmore practices in Ada, OK and has the professional credentials of MS. The NPI Number for Tina Renee Gilmore is 1144535758 and holds a License No. (Oklahoma).

The current practice location address for Tina Renee Gilmore is 704 N Oak Ave Ste 20, Ada, OK and can be reached out via phone at 580-332-3001 and via fax at 580-332-3652.

Location: 704 N Oak Ave Ste 20, Ada, OK, 74820-3267
person
Provider Profile Details
NPI Number
1144535758
Provider Name
Tina Renee Gilmore
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
704 N Oak Ave Ste 20, Ada, OK, 74820-3267
Phone Number
580-332-3001
Fax Number
580-332-3652
Provider Enumeration Date
08/09/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100732530A 05 OK
institution
Provider Business Practice Location Address Details
Address
704 N Oak Ave Ste 20
City
Ada
State
Zip
74820-3267
Phone Number
580-332-3001
Fax Number
580-332-3652
person
Provider Business Mailing Address Details
Address
704 N Oak Ave Ste 20
City
Ada
State
Zip
74820-3267
Phone Number
580-332-3001
Fax Number
580-332-3652
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
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Definition
Definition to come...
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