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Individual

MRS. JESSICA ERIN OLTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LPC

Contact information

Practice address
650 S PEORIA AVE, TULSA, OK 74120-4429
(918) 587-9471
Mailing address
650 S PEORIA AVE, TULSA, OK 74120-4429
(918) 587-9471

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC07761
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43-1236557
OK
Enumeration date
03/11/2019
Last updated
12/12/2024
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