Individual
MARISSA STUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
2417 E 53RD ST STE 101B, TULSA, OK 74105-6600
(918) 308-9604
Mailing address
4660 W 168TH ST N, SKIATOOK, OK 74070-4753
(918) 697-5070
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
11672
OK
Other
Enumeration date
08/30/2022
Last updated
09/13/2025
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