Individual
CASEY DECKARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
11740 E 21ST ST, TULSA, OK 74129-1820
(918) 437-9495
Mailing address
11740 E 21ST ST, TULSA, OK 74129-1820
(918) 437-9495
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6189
OK
Other
Enumeration date
02/27/2014
Last updated
09/16/2016
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