Organization
BUILDINGCHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURIE ANN POTTORF LPC (COUNSELOR)
(918) 852-8200
Entity
Organization
Contact information
Practice address
7915 E 17TH ST, TULSA, OK 74112-7839
(918) 852-8200
Mailing address
4650 E 24TH ST, TULSA, OK 74114-3612
(918) 852-8200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1268
OK
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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