Individual
MICHAEL DAN WOOLRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1516 S BOSTON AVE STE 1, TULSA, OK 74119-4029
(918) 561-6000
(918) 561-6001
Mailing address
1619 W TECUMSEH ST, TULSA, OK 74127-2526
(918) 592-4437
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2321
OK
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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