Individual
MRS. AMY RENEE MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3616 S GARY AVE, TULSA, OK 74105-3602
(918) 306-1595
Mailing address
3616 S. GARY, TULSA, OK 74105
(918) 306-1595
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4185
OK
103TS0200X
School Psychologist
183716
OK
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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