Individual
THERESA LYNNETTE SOLBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-CANDIDATE
Contact information
Practice address
4835 S FULTON AVE, SUITE 104, TULSA, OK 74135-6995
(918) 712-8800
Mailing address
901 NE 12TH ST, WAGONER, OK 74467-2111
(405) 535-7055
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/14/2017
Last updated
04/14/2017
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