Individual
MISS CHANNING MICHELLE RUTHERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A., BHRS
Contact information
Practice address
2325 S HARVARD AVE, STE. 400, TULSA, OK 74114-3300
(918) 991-6422
(918) 744-4806
Mailing address
5220 E 81ST ST, (APT. 215), TULSA, OK 74137-2216
(918) 991-6422
(918) 744-4806
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/16/2011
Last updated
12/16/2011
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