Provider Demographics
NPI:1942391792
Name:GILLILAND, SANDRA LEANN (MA LMFT UNDER SUP)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:LEANN
Last Name:GILLILAND
Suffix:
Gender:F
Credentials:MA LMFT UNDER SUP
Other - Prefix:MS
Other - First Name:SANDRA
Other - Middle Name:LEANN
Other - Last Name:MCALLISTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:650 S PEORIA
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74120-4429
Mailing Address - Country:US
Mailing Address - Phone:918-587-9471
Mailing Address - Fax:918-560-0137
Practice Address - Street 1:1750 N SIOUX
Practice Address - Street 2:SUITE B
Practice Address - City:CLAREMORE
Practice Address - State:OK
Practice Address - Zip Code:74017-3132
Practice Address - Country:US
Practice Address - Phone:918-341-7543
Practice Address - Fax:918-343-5709
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist