Individual
LESLIE MARIE MATTAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCMHC
Contact information
Practice address
2325 S HARVARD AVE, TULSA, OK 74114-3300
(918) 712-4301
Mailing address
2325 S HARVARD AVE, TULSA, OK 74114-3300
(918) 712-4301
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
11483
OK
Other
Enumeration date
02/07/2023
Last updated
03/18/2026
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