Individual
LISA MICHELE RESER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHCM II
Contact information
Practice address
2442 MOHAWK BLVD, TULSA, OK 74110-1519
(918) 430-0975
Mailing address
2444 S IRVINGTON AVE, TULSA, OK 74114-3800
(918) 629-1287
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
11842
OK
Other
Enumeration date
10/10/2022
Last updated
04/25/2024
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