Individual
CLARA ELENA ACOSTA DE WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4150 S 100TH EAST AVE, SUITE 200-C, TULSA, OK 74146-3650
(918) 813-2354
Mailing address
4150 S 100TH EAST AVE, SUITE 200-C, TULSA, OK 74146-3650
(918) 813-2354
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5056
OK
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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