Individual
MS. JANUARY LEAVELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHR , LPC
Contact information
Practice address
616 S BOSTON AVE, SUITE 400, TULSA, OK 74119-1208
(918) 382-7300
Mailing address
1339 S 75TH EAST AVE, TULSA, OK 74112-6725
(918) 637-0433
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3768
OK
Other
Enumeration date
12/19/2006
Last updated
05/24/2023
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