Individual
JORDYN NIKOLE GAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2325 S HARVARD AVE, TULSA, OK 74114-3300
(918) 712-4301
Mailing address
2325 S HARVARD AVE, TULSA, OK 74114-3300
(918) 712-4301
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/27/2021
Last updated
11/28/2023
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