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NPI Code Detail

MEDICARE: LINDA GILLISPIE LPC

MEDICARE: LINDA GILLISPIE LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor3306OK
2101YM0800XMental Health Counselor3306OK

General Provider Information

NPI Number : 1811155294
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA GILLISPIE LPC
Provider Business Mailing Address
First Line : 1076 W MAPLE AVE
Second Line :
City : DUNCAN
State : OK
Zip : 73533-4787
Country : US
Telephone Number : 580-606-6719
Fax Number :
Provider Business Practice Location Address
First Line : 1076 W MAPLE AVE
Second Line :
City : DUNCAN
State : OK
Zip : 73533-4787
Country : US
Telephone Number : 580-606-6719
Fax Number : 580-606-6834
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2008
Last Update Date : 01/22/2024

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Directions to “ LINDA GILLISPIE LPC” Practice Location

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