Individual
JENNIFER HEISSERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2612 E 88TH ST APT 2, TULSA, OK 74137-1113
(757) 240-9931
Mailing address
2612 E 88TH ST APT 2, TULSA, OK 74137-1113
(757) 240-9931
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/25/2014
Last updated
07/25/2014
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