Individual
JASON HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6655 S YALE AVE, TULSA, OK 74136-3326
(918) 491-3700
(918) 481-4063
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
(888) 247-0125
(918) 502-8001
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
7177
OK
171M00000X
Case Manager/Care Coordinator
12750
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200508450B
—
OK
Enumeration date
07/11/2012
Last updated
06/22/2021
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