Individual
MRS. SHANNA L EISCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, IMH-II
Contact information
Practice address
6308 E 15TH ST STE 2C, TULSA, OK 74112-6411
(918) 695-0996
(918) 699-0598
Mailing address
6308 E 15TH ST STE 2C, TULSA, OK 74112-6411
(918) 695-0996
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/06/2013
Last updated
07/29/2020
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