Organization
AUTIZEN THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAQ ZUIDEMA LCSW (OWNER)
(918) 558-0338
Entity
Organization
Contact information
Practice address
8092 S YALE AVE, TULSA, OK 74136-9003
(918) 558-0338
Mailing address
4000 W MONTROSE AVE # 790, CHICAGO, IL 60641-2140
(918) 558-0338
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/16/2025
Last updated
05/28/2025
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