Individual
JULIE SKIDMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6202 S LEWIS AVE STE J, TULSA, OK 74136-1064
(918) 392-7988
(918) 392-7989
Mailing address
6202 S LEWIS AVE STE J, TULSA, OK 74136-1064
(918) 392-7988
(918) 392-7989
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
11715
OK
101YM0800X
Mental Health Counselor
11715
OK
101YP2500X
Professional Counselor
Primary
11715
OK
Other
Enumeration date
01/30/2026
Last updated
02/06/2026
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