Individual
MR. MICHAEL L DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1523 N BOSTON PL, TULSA, OK 74106-4103
(918) 584-1254
Mailing address
1523 N BOSTON PL, TULSA, OK 74106-4103
(918) 584-1254
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/14/2011
Last updated
03/14/2011
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