Individual
MISS GRACE ELOISE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6655 S. YALE AVE, TULSA, OK 74136
(918) 502-5223
Mailing address
6655 S YALE AVE, TULSA, OK 74136-3326
(918) 502-5223
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6475
OK
Other
Enumeration date
09/15/2017
Last updated
07/21/2022
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