Individual
ASHLEE TOLLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10904 BLUE SKY DR, MIDWEST CITY, OK 73130-2122
(405) 301-4454
Mailing address
10904 BLUE SKY DR, MIDWEST CITY, OK 73130-2122
(405) 301-4454
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
11097
OK
101YP2500X
Professional Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
10/28/2022
Last updated
05/09/2025
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