Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marissa Jordyn Gough

Individual provider Counselor · NPI 1891389722

Marissa Jordyn Gough is a Counselor in Altus, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2021.

Licensed in
OK
In the registry since
2021
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Practice location Address checks out

111 Sequoyah Ln
Altus, OK 73521-1756
Phone: (580) 379-0203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 11721 (OK)

Record details

NPI number1891389722
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 22, 2021
Last updated in NPPESApril 16, 2025
Certification dateApril 16, 2025

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