Individual
ZACHARY PASCHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2325 S HAVARD AVE, TULSA, OK 74114
(918) 607-3931
Mailing address
2325 S HARVARD AVE, TULSA, OK 74114-3300
(918) 607-3931
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3034
—
OK
Enumeration date
12/20/2012
Last updated
10/23/2020
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