Individual
COQUESTIA DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHR
Contact information
Practice address
2625 N PEORIA AVE, TULSA, OK 74106-2512
(918) 794-0196
(918) 794-0196
Mailing address
2625 N PEORIA AVE, TULSA, OK 74106-2512
(918) 794-0196
(918) 794-0196
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/18/2011
Last updated
11/18/2011
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