Individual
MRS. ELSA CHANTILE THOENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC/MH
Contact information
Practice address
6016 S 66TH EAST AVE, TULSA, OK 74145-9210
(918) 764-9098
Mailing address
4031 E 27TH ST, TULSA, OK 74114-5942
(509) 638-9294
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1491
OK
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
02/23/2021
Last updated
07/07/2026
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