Individual
JESSECA MORIAH COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4103 S YALE AVE STE B, TULSA, OK 74135-6002
(918) 382-7300
Mailing address
8086 S YALE AVE STE 286, TULSA, OK 74136-9003
(918) 892-9670
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/10/2022
Last updated
03/24/2023
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