Individual
JEREMY CRAIG NIKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
7136 S YALE AVE STE 300, TULSA, OK 74136
(918) 417-1006
(918) 900-2204
Mailing address
10707 S SYCAMORE ST, JENKS, OK 74037-2377
(918) 289-5023
(918) 900-2204
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4809
OK
Other
Enumeration date
08/26/2009
Last updated
06/29/2022
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