Individual
PROF. TENAYE HAILU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
7633 E 63RD PL STE 300, TULSA, OK 74133-1202
(918) 740-6195
Mailing address
7633 E 63RD PL STE 300, TULSA, OK 74133-1202
(918) 740-6195
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1096
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1096
LMFT
OK
Enumeration date
01/28/2009
Last updated
09/09/2024
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