Individual
JULIE DIANE SPILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
9341 E 81ST ST APT 1017, TULSA, OK 74133-8132
(417) 529-9261
Mailing address
9341 E 81ST ST APT 1017, TULSA, OK 74133-8132
(417) 529-9261
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/04/2012
Last updated
10/10/2012
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