Individual
MS. TAMMY GAIL STATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
11740 E 21ST ST, TULSA, OK 74129-1820
(918) 260-8566
Mailing address
3718 E 24TH ST, TULSA, OK 74114-3416
(918) 260-8566
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3223
OK
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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