Individual
CHRISTIA COLEAN VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7520 E. 55TH STREET, TULSA, OK 74145
(918) 978-3077
Mailing address
7520 E. 55TH. STREET, TULSA, OK 74145
(918) 978-3044
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OK
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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