Individual
JAMES WALLACE GRINNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
2121 E 3RD ST, TULSA, OK 74104-1817
(918) 587-2400
Mailing address
2121 E 3RD ST, TULSA, OK 74104-1817
(918) 587-2400
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
502
OK
Other
Enumeration date
01/28/2008
Last updated
01/28/2008
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