Individual
MR. CHAD MICHAEL MATHENY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
102 N DENVER AVE, TULSA, OK 74103-1820
(918) 582-1200
(918) 581-0777
Mailing address
102 N DENVER AVE, TULSA, OK 74103-1820
(918) 582-1200
(918) 581-0777
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3356
OK
Other
Enumeration date
03/09/2007
Last updated
11/05/2007
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