Individual
MS. TAMMY JO COLETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8422 N 123RD EAST AVE, OWASSO, OK 74055-2130
(918) 858-4353
Mailing address
8422 N 123RD EAST AVE, OWASSO, OK 74055-2130
(918) 858-4353
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0000498
CO
101YP2500X
Professional Counselor
Primary
LPC.0005606
CO
Other
Enumeration date
04/11/2007
Last updated
01/07/2024
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