Individual
RENEE AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4523 E 25TH PL, TULSA, OK 74114-4815
(918) 812-0776
Mailing address
4523 E 25TH PL, TULSA, OK 74114-4815
(918) 812-0776
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5959
OK
Other
Enumeration date
05/07/2014
Last updated
07/05/2016
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