Individual
MR. D. JESSE BRUESCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
6216 S LEWIS AVE STE 180, TULSA, OK 74136-1077
(918) 960-7852
(539) 664-5738
Mailing address
19 N 5TH ST # 201, FORT SMITH, AR 72901-2137
(918) 344-7262
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
06981
OK
101YM0800X
Mental Health Counselor
Primary
P2408005
AR
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
Primary
P2408005
AR
Other
Enumeration date
09/01/2016
Last updated
08/11/2026
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