Individual
MARIE ROSE CALICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6655 S YALE AVE, LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL, TULSA, OK 74136-3326
(918) 481-4000
(918) 491-5740
Mailing address
6655 S YALE AVE, LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL, TULSA, OK 74136-3326
(918) 481-4000
(918) 491-5740
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1270
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017877
CIGNA BEHAVIORAL HEALTH
—
Enumeration date
03/21/2006
Last updated
07/08/2007
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