Individual
HENRIATTA A COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LPC
Contact information
Practice address
11740 E 21ST ST, TULSA, OK 74129-1820
(918) 437-9495
Mailing address
125 FOX RUN CIR, JENKS, OK 74037-9512
(918) 978-6972
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6670
OK
101YP2500X
Professional Counselor
Primary
6670
OK
Other
Enumeration date
04/18/2012
Last updated
10/09/2024
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