Individual
JARED DANIEL WHITMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7935 E 57TH ST, TULSA, OK 74145-8622
(918) 519-4642
Mailing address
7935 E 57TH ST, TULSA, OK 74145-8622
(918) 519-4642
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10095
OK
Other
Enumeration date
06/25/2021
Last updated
12/03/2023
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