Individual
TANESHA GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9404 NE 46TH ST, SPENCER, OK 73084-2516
(405) 923-6045
Mailing address
9404 NE 46TH ST, SPENCER, OK 73084-2516
(405) 923-6045
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6514
OK
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/25/2011
Last updated
04/28/2026
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