Individual
JESSICA SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6655 S YALE AVE, LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL, TULSA, OK 74136-3326
(918) 491-5699
Mailing address
6655 S YALE AVE, LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL, TULSA, OK 74136-3326
(918) 491-5699
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6095
OK
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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