Individual
MICHAEL WITHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2325 S HARVARD AVE, TULSA, OK 74114-3300
(918) 712-4301
Mailing address
2325 S HARVARD AVE, TULSA, OK 74114-3301
(918) 712-4301
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106S00000X
Behavior Technician
Primary
26-530143
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/17/2013
Last updated
08/06/2026
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