Individual
LYDIA GENTGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2840 E 51ST ST STE 105, TULSA, OK 74105-1707
(918) 340-5510
Mailing address
2840 E 51ST ST STE 105, TULSA, OK 74105-1707
(918) 340-5510
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10274
OK
Other
Enumeration date
03/24/2019
Last updated
11/13/2023
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