Individual
RACHEL MICHELLE WALTRIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 502-0856
(918) 501-0211
Mailing address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 240-5452
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10100
OK
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
0
OK
Enumeration date
06/16/2015
Last updated
06/21/2021
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