Individual
LYNNETTA RUBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1608 S ELWOOD AVE, TULSA, OK 74119-4208
(918) 587-3888
(918) 587-3891
Mailing address
5310 E 31ST ST, TULSA, OK 74135-5012
(918) 600-3100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/03/2021
Last updated
03/31/2023
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