Individual
DEBORAH EGHTESAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
7320 S YALE AVE STE B, TULSA, OK 74136-7034
(918) 992-2335
Mailing address
11911 S REDBUD ST, JENKS, OK 74037-4384
(417) 260-1980
(479) 750-4843
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
10472
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/25/2017
Last updated
10/14/2024
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