Individual
NATASHA KAYE TINDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C-PRSS,CM
Contact information
Practice address
320 N PEBBLE CREEK TER APT 104, MUSTANG, OK 73064-4176
(405) 887-8033
Mailing address
320 N PEBBLE CREEK TER APT 104, MUSTANG, OK 73064-4176
(405) 887-8033
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0162
OK
251S00000X
Community/Behavioral Health Agency
Primary
0162
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0162
ODMHSAS
OK
01
—
062009
OKLAHOMA STATE BAR ASSOCIATION CERTIFIED FAMILY & DIVORCE MEDIATOR
OK
Enumeration date
01/05/2011
Last updated
01/05/2011
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