| Gina Champlain, | |
|
1322 W Main, Antlers, OK 74523-0000 | |
| (580) 298-5062 | |
| (580) 298-9958 |
| Full Name | Gina Champlain |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 1322 W Main, Antlers, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801145743 | NPI | - | NPPES |
| 200111200A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gina Champlain, 1322 W Main, Antlers, OK 74523-0000 Ph: (580) 298-5062 | Gina Champlain, 1322 W Main, Antlers, OK 74523-0000 Ph: (580) 298-5062 |
Kimberly R Couch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 903 W Main St, Antlers, OK 74523 Phone: 580-298-3001 | |
Sierra Hurley Allen, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1322 W Main St, Antlers, OK 74523 Phone: 580-298-5062 | |
Mrs. Stacey Colette Franks, MBS,LBP Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 N High St, Antlers, OK 74523 Phone: 580-298-5779 Fax: 580-298-6699 | |
Ms. Sandy Keesee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 112 N High St, Antlers, OK 74523 Phone: 580-298-3001 Fax: 580-298-5357 | |
Elizabeth Lanell Warren, Counselor Medicare: Medicare Enrolled Practice Location: 1322 W Main St, Antlers, OK 74523 Phone: 580-298-5062 Fax: 580-298-9958 | |
Ms. Kathy L Pendergraft, Counselor Medicare: Medicare Enrolled Practice Location: 112 N High St, Antlers, OK 74523 Phone: 580-298-3001 Fax: 580-298-5357 | |
Jordan Hayes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1322 W Main St, Antlers, OK 74523 Phone: 580-298-5062 Fax: 580-298-9958 |