Individual
DR. MARY L. MIHELICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5215 E 71ST ST, SUITE 1300, TULSA, OK 74136-6341
(918) 527-0323
(918) 398-9475
Mailing address
8522 E 81ST PL, TULSA, OK 74133-8001
(918) 527-0323
(918) 398-9475
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
731
OK
106H00000X
Marriage & Family Therapist
554
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100715520A
—
OK
Enumeration date
12/15/2005
Last updated
01/07/2013
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