Individual
DANIELLE DENISE MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, LPC
Contact information
Practice address
7010 S YALE AVE STE 215, TULSA, OK 74136-5743
(918) 492-2554
(918) 494-9870
Mailing address
1436 S HARVARD AVE, TULSA, OK 74112-5820
(918) 346-9620
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3730
OK
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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