Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARISSA JORDYN GOUGH
ActiveMARISSA JORDYN GOUGH is a Counselor healthcare provider located in ALTUS, Oklahoma. NPI 1891389722 is currently active in the NPPES registry. Verify at CMS.
Counselor · ALTUS, OK
Registration Details
- NPI Number
- 1891389722
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 22, 2021 (5.4316558251338 yrs)
- Last Updated
- Apr 16, 2025
- License
-
11721 (OK)
Practice Information
- Address
-
111 SEQUOYAH LNALTUS, OK, 735211756Browse OK providers · Browse ZIP 73521
- Phone
- 5803790203
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in ALTUS, OK
| Name | Credential | NPI |
|---|---|---|
| MS. TONYA ELAINE BOOTS | MS LPC-S, RPT-S | 1114249521 |
| CASEY ANN WILSON | M.S. | 1609195932 |
| MR. TYRONE BROWN | B.S. | 1376853309 |
| MRS. ISABELLA SUZANNE NORTON | MS | 1477850733 |
| MS. DIANA FAYE RYAN | MSBS | 1891092888 |
| MR. DUSTIN JAMES ROBINS | — | 1598025827 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.