| Doctor Name: | ERIN GOSS |
| NPI Number: | 1063719730 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC, LADC |
| License Number: | 1048 |
| Business Practice Address: | 333 S 38th St Suite K Muskogee, OK - 744014937 |
| Business Phone Number: | 9086838827 |
| Business Fax Number: | 9186860902 |
| Mailing Address: | 333 S 38th St, Suite K MUSKOGEE |
| State: | OK |
| Postal Code: | 744014937 |
| Phone Number: | 9186838827 |
| Fax Number: | 9186860902 |
| NPI Enumeration Date: | 02/16/2011 |
| NPI Last Update Date: | 08/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 1048 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |