Individual
MRS. AMANDA LAINE HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2921 E 91ST ST, TULSA, OK 74137-3322
(918) 298-5059
Mailing address
4941 S LAWTON AVE, TULSA, OK 74107-8333
(918) 855-8749
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25-119-1561
—
OK
Enumeration date
03/26/2013
Last updated
03/26/2013
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