Individual
JILL RENAE SEDLACEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHR, LPC
Contact information
Practice address
115 W 5TH ST APT 1404, TULSA, OK 74103-4274
(918) 630-4506
Mailing address
115 W 5TH ST APT 1404, TULSA, OK 74103-4274
(918) 630-4506
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5084
OK
Other
Enumeration date
07/16/2010
Last updated
01/21/2014
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