Individual
TARA NICOLE BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4305 S OWASSO AVE APT 7, TULSA, OK 74105-3902
(918) 714-6590
Mailing address
1737 E 56TH ST, TULSA, OK 74105-8806
(918) 946-9893
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/21/2022
Last updated
12/30/2024
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