Individual
LARRY GENE DOTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS UNDER LPC SUPERVI
Contact information
Practice address
616 S BOSTON AVE, TULSA, OK 74119-1208
(918) 382-7300
Mailing address
3112 N IRONWOOD AVE, BROKEN ARROW, OK 74012-1769
(918) 698-7684
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
UNDER SUPERVISION
OK
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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