Individual
ANGEL PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1516 S BOSTON AVE, SUITE 1 BOSTON PLACE, TULSA, OK 74119-4003
(918) 561-6000
(918) 561-6001
Mailing address
1516 S BOSTON AVE, SUITE 1 BOSTON PLACE, TULSA, OK 74119-4003
(918) 561-6000
(918) 561-6001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
D080243004
OK
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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