Individual
JESSIE UNGOLADV ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
LPC-CANDIDATE
Contact information
Practice address
4845 S SHERIDAN RD STE 509, TULSA, OK 74145-5719
(918) 370-6329
Mailing address
1902 W 45TH ST, TULSA, OK 74107-6830
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OK
101YM0800X
Mental Health Counselor
—
OK
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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