Individual
CLAUDEEN DAWN MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
4300 S HARVARD AVE STE 100, TULSA, OK 74135-2608
(918) 585-3170
Mailing address
4300 S HARVARD AVE STE 100, TULSA, OK 74135-2608
(918) 585-3170
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
UNDER SUPERVISION
OK
101YP2500X
Professional Counselor
UNDER SUPERVISION
OK
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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