Individual
MADISON LEIGH CANTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1704 S UTICA AVE, TULSA, OK 74104-5318
(918) 319-2935
Mailing address
2725 N 22ND ST, BROKEN ARROW, OK 74012-9632
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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