Individual
AMBER NICHOLE RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5310 E 31ST ST, TULSA, OK 74135-5012
(405) 570-4346
(918) 560-1399
Mailing address
5310 E 31ST ST, TULSA, OK 74135-5012
(405) 570-4346
(918) 560-1399
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
11521
OK
Other
Enumeration date
08/12/2019
Last updated
11/14/2025
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