Individual
LISETTE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-C
Contact information
Practice address
650 S PEORIA AVE, TULSA, OK 74120-4429
(918) 587-9471
(918) 587-9471
Mailing address
650 S PEORIA AVE, TULSA, OK 74120-4429
(918) 587-9471
(918) 560-1399
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106S00000X
Behavior Technician
RBT21-156600
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
822465485
—
OK
Enumeration date
02/19/2021
Last updated
04/16/2024
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