Individual
MR. MICHAEL SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW LPC LADC
Contact information
Practice address
3105 E SKELLY DR, SUITE 102, TULSA, OK 74105-6358
(918) 599-7404
(918) 584-2530
Mailing address
4535 E 38TH PL, TULSA, OK 74135-2544
(918) 747-3129
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
547
OK
101YP2500X
Professional Counselor
2008
OK
1041C0700X
Clinical Social Worker
Primary
2130
OK
Other
Enumeration date
08/08/2006
Last updated
11/14/2011
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