person
Ebony Tyler Portis, BHS
Professional Counselor in Oklahoma City, Oklahoma
NPI 1043576192

Ebony Tyler Portis is a Professional Counselor based in Oklahoma City, OK and is specialized in Professional. Ebony Tyler Portis practices in Oklahoma City, OK and has the professional credentials of BHS. The NPI Number for Ebony Tyler Portis is 1043576192 and holds a License No. 101YP2500X (Oklahoma).

The current practice location address for Ebony Tyler Portis is 1900 Ne 36Th St Ste 100G, Oklahoma City, OK and can be reached out via phone at 405-270-0005.

Location: 1900 Ne 36Th St Ste 100G, Oklahoma City, OK, 73111-5218
person
Provider Profile Details
NPI Number
1043576192
Provider Name
Ebony Tyler Portis
Credential
BHS
Provider Entity Type
Individual
Gender
Female
Address
1900 Ne 36Th St Ste 100G, Oklahoma City, OK, 73111-5218
Phone Number
405-270-0005
Fax Number
Provider Enumeration Date
04/03/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1900 Ne 36Th St Ste 100G
City
State
Zip
73111-5218
Phone Number
405-270-0005
Fax Number
person
Provider Business Mailing Address Details
Address
1900 Ne 36Th St Ste 100G
City
State
Zip
73111-5218
Phone Number
405-270-0005
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
101YP2500X ()
Definition
Definition to come...
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