Individual
GUSTAVA EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 S GARNETT RD, TULSA, OK 74128-1836
(918) 878-7877
(918) 878-7882
Mailing address
2001 S GARNETT RD, TULSA, OK 74128-1836
(918) 878-7877
(918) 878-7882
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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