Individual
MR. MICHAEL LEE UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
1843 E 15TH ST, TULSA, OK 74104-4610
(918) 712-8800
(918) 712-8802
Mailing address
8637 S 73RD EAST AVE, TULSA, OK 74133-6606
(918) 809-0350
(918) 806-8026
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2295
OK
Other
Enumeration date
07/29/2010
Last updated
07/29/2010
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