Individual
EBONY SKILLENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6028 S 66TH EAST AVE STE 103, TULSA, OK 74145-9226
(918) 932-8774
(844) 881-4140
Mailing address
6028 S 66TH EAST AVE STE 103, TULSA, OK 74145-9226
(918) 471-4939
(844) 881-4140
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
K86000093
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100710510E
—
OK
Enumeration date
05/13/2011
Last updated
06/14/2024
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