Individual
EDMUND HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1055 S HOUSTON AVE # 200, TULSA, OK 74127-9043
(918) 947-4200
Mailing address
1055 S HOUSTON AVE # 200, TULSA, OK 74127-9043
(918) 947-4200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/18/2021
Last updated
08/27/2025
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