Individual
CASEY JAMES HILDESTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3314 E 46TH ST STE 200, TULSA, OK 74135-2926
(918) 591-2510
Mailing address
3314 E 46TH ST STE 200, TULSA, OK 74135-2926
(918) 591-2510
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4815
OK
Other
Enumeration date
02/11/2010
Last updated
05/15/2013
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