Individual
MRS. JILL ANDREA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CM LADC
Contact information
Practice address
2325 S. HARVARD, TULSA, OK 74114-3300
(918) 712-4301
Mailing address
650 S PEORIA, TULSA, OK 74120-4429
(918) 587-9471
(918) 560-0137
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LADC591
OK
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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