Individual
MARY KATHRYN TYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAPC, LPC
Contact information
Practice address
9820 E 41ST ST STE 400, TULSA, OK 74146-3616
(918) 641-4241
Mailing address
411 E DUNCAN ST, JENKS, OK 74037-4525
(919) 606-6893
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10918
OK
Other
Enumeration date
12/03/2020
Last updated
05/10/2024
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