person
Mark W. Gorman, LPC
Mental Health Counselor in Edmond, Oklahoma
NPI 1750452025

Mark W. Gorman is a Mental Health Counselor based in Edmond, OK and is specialized in Mental Health. Mark W. Gorman practices in Edmond, OK and has the professional credentials of LPC. The NPI Number for Mark W. Gorman is 1750452025 and holds a License No. 1164 (Oklahoma).

The current practice location address for Mark W. Gorman is 3233 E Memorial Rd, Edmond, OK and can be reached out via phone at 405-608-0545 and via fax at 405-286-0057.

Location: 3233 E Memorial Rd, Edmond, OK, 73013-7082
person
Provider Profile Details
NPI Number
1750452025
Provider Name
Mark W. Gorman
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
3233 E Memorial Rd, Edmond, OK, 73013-7082
Phone Number
405-608-0545
Fax Number
405-286-0057
Provider Enumeration Date
11/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1164 01 OK LICENSE NUMBER, LPC.
institution
Provider Business Practice Location Address Details
Address
3233 E Memorial Rd
City
State
Zip
73013-7082
Phone Number
405-608-0545
Fax Number
405-286-0057
person
Provider Business Mailing Address Details
Address
3233 E Memorial Rd
City
State
Zip
73013-7082
Phone Number
405-608-0545
Fax Number
405-286-0057
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
1164 (Oklahoma)
Definition
Definition to come...
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