Individual
EMMA LOUISE FISHBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1421 S BOSTON AVE, TULSA, OK 74119-3607
(918) 599-7999
Mailing address
6008 E 62ND ST, TULSA, OK 74136-2133
(918) 938-2177
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/27/2022
Last updated
06/02/2025
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