Individual
TERISA MICHELE ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1728 S CARSON AVE, TULSA, OK 74119-4610
(918) 712-0557
Mailing address
1728 S CARSON AVE, TULSA, OK 74119-4610
(918) 712-0557
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
201064950B
OK
171M00000X
Case Manager/Care Coordinator
—
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/21/2020
Last updated
01/22/2025
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