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Mrs. Nikita Ranae Gough, MA
Mental Health Counselor in Claremore, Oklahoma
NPI 1295098820

Nikita Ranae Gough is a Mental Health Counselor based in Claremore, OK and is specialized in Mental Health. Nikita Ranae Gough practices in Claremore, OK and has the professional credentials of MA. The NPI Number for Nikita Ranae Gough is 1295098820 and holds a License No. (Oklahoma).

The current practice location address for Nikita Ranae Gough is 12005 E 470 Rd, Claremore, OK and can be reached out via phone at 918-342-0770 and via fax at 918-342-0087.

Location: 12005 E 470 Rd, Claremore, OK, 74017-3737
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295098820
Provider Name
Nikita Ranae Gough
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
12005 E 470 Rd, Claremore, OK, 74017-3737
Phone Number
918-342-0770
Fax Number
918-342-0087
Provider Enumeration Date
06/19/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12005 E 470 Rd
City
Claremore
State
Oklahoma
Zip
74017-3737
Phone Number
918-342-0770
Fax Number
918-342-0087
person
Provider Business Mailing Address Details
Address
12005 E 470 Rd
City
Claremore
State
Oklahoma
Zip
74017-3737
Phone Number
918-342-0770
Fax Number
918-342-0087
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
5647 (Oklahoma)
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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