Individual
ASHLYN SIDDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5310 E 31ST ST, TULSA, OK 74135-5018
(918) 629-4244
Mailing address
1763 E 14TH PL, TULSA, OK 74104-4629
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/17/2020
Last updated
01/17/2023
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