Individual
ASHLEY HALLIWILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4636 S HARVARD AVE, TULSA, OK 74135-2908
(918) 382-7300
Mailing address
13209 S 85TH EAST PL, BIXBY, OK 74008-3452
(918) 639-6556
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/26/2017
Last updated
04/26/2017
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