Individual
MR. MARK ROSS DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., L.P.C.
Contact information
Practice address
2323 S HARVARD AVE, TULSA, OK 74114-3301
(918) 293-2140
(918) 712-7164
Mailing address
2323 S HARVARD AVE, TULSA, OK 74114-3301
(918) 293-2140
(918) 712-7164
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1277
OK
Other
Enumeration date
12/30/2008
Last updated
12/30/2008
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