Individual
MS. JESSICA BETH BRANSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 W 5TH ST STE 505, TULSA, OK 74103-4277
(918) 295-5055
Mailing address
8122 S 107TH EAST AVE # 6H, TULSA, OK 74133-8302
(918) 812-6923
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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