Individual
MR. MICHAEL WAYNE QUIROZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPC
Contact information
Practice address
10906 E 25TH ST, TULSA, OK 74129-5018
(918) 833-0171
Mailing address
10906 E 25TH ST, TULSA, OK 74129-5018
(918) 833-0171
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
04600
OK
101YM0800X
Mental Health Counselor
10030
OK
Other
Enumeration date
06/04/2007
Last updated
10/16/2024
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