Individual
ALEX ATKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC-MH
Contact information
Practice address
1 W 36TH ST N STE 1, TULSA, OK 74106-1703
(918) 425-4200
Mailing address
9620 N 167TH EAST AVE, OWASSO, OK 74055-5202
(918) 402-3248
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1257
OK
103K00000X
Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/05/2014
Last updated
12/18/2019
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