Individual
MISS JENESHIA L HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4636 S HARVARD AVE, TULSA, OK 74135-2908
(918) 382-7300
Mailing address
1604 S DENVER AVE APT 5, TULSA, OK 74119-4206
(918) 889-1068
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/03/2018
Last updated
06/03/2018
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