Individual
BRETTA KAYLENE LOCUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2624 E NEWTON ST APT I, TULSA, OK 74110-4770
(539) 842-8723
Mailing address
2624 E NEWTON ST APT I, TULSA, OK 74110-4770
(539) 842-8723
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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