Individual
JEFFERY B RIGGENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
6655 S YALE AVE, LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL, TULSA, OK 74136-3326
(918) 481-4000
(918) 491-5740
Mailing address
201 S GARNETT RD, BROOKHAVEN HOSPITAL, TULSA, OK 74128-1805
(918) 481-4000
(918) 491-5740
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2170
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2136756
CIGNA BEHAVIORAL HEALTH
—
Enumeration date
03/24/2006
Last updated
12/23/2011
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