Individual
NICOLE MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT, MA
Contact information
Practice address
7320 S YALE AVE STE B, TULSA, OK 74136-7034
(918) 992-2335
Mailing address
2548 E KENOSHA ST, BROKEN ARROW, OK 74014-6712
(918) 810-3449
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
LMFT01234
OK
Other
Enumeration date
09/28/2015
Last updated
08/15/2024
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