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Individual

MRS. JEANETTE LOUISE GOETZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC LADC

Contact information

Practice address
7941 E 57TH ST, #7, TULSA, OK 74145
(918) 671-6504
(918) 664-1117
Mailing address
7941 E 57TH ST, #7, TULSA, OK 74145
(918) 671-6504
(918) 664-1117

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
42
OK
103T00000X
Psychologist
1902
OK

Other

Enumeration date
08/11/2006
Last updated
09/11/2025
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