Individual
MR. ANDREW JAY MERRITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2215 E. 21ST STREET, TULSA, OK 74104, OK 74104
(918) 606-3536
Mailing address
1746 MELROSE DR, 350 CENTER RD, OZARK, MO 65721
(918) 606-3536
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1602
OK
101YP2500X
Professional Counselor
Primary
LPC.0015803
CO
Other
Enumeration date
11/30/2006
Last updated
09/20/2024
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