Individual
KEVIN THOMAS GRESHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5950 E 31ST ST, TULSA, OK 74135-5114
(918) 664-9000
Mailing address
5950 E 31ST ST, TULSA, OK 74135-5114
(918) 664-9000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/15/2021
Last updated
10/15/2021
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