MISS GAY FONTAINA WILLIS BHRS CM NPI 1083932859

NPI Information

MISS Gay Fontaina Willis, BHRS CM is a counselor in Edmond, OK. The provider is 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. MISS Gay Fontaina Willis, BHRS CM NPI is 1083932859. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1015 WATERWOOD PKWY
G-N2
EDMOND, OK
ZIP 73034-327
Phone: (405) 863-2224
Fax: (405) 285-1652

The enumeration date for this NPI number is 5/4/2010 and was last updated on 3/21/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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