Individual
TAMI SUE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2727 E ADMIRAL PL, TULSA, OK 74110-5436
(918) 835-3017
(918) 836-0358
Mailing address
2727 E ADMIRAL PL, TULSA, OK 74110-5436
(918) 835-3017
(918) 836-0358
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4875
OK
101YM0800X
Mental Health Counselor
0103541
CA
Other
Enumeration date
08/30/2007
Last updated
01/17/2014
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