Individual
MRS. CHARLEEN RENE MCCRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
650 S PEORIA AVE, TULSA, OK 74120-4429
(918) 587-9471
Mailing address
1527 S LEWIS PL, TULSA, OK 74104-5120
(918) 704-4199
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2415
OK
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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