Individual
MR. TERAN T TEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6333 E SKELLY DR, TULSA, OK 74135-6106
(918) 779-7187
(918) 663-0203
Mailing address
6333 E SKELLY DR, TULSA, OK 74135-6106
(918) 779-7187
(918) 663-0203
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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