person
Lisa Staires Pottorf, MED,LPC
Mental Health Counselor in Tulsa, Oklahoma
NPI 1205031002

Lisa Staires Pottorf is a Mental Health Counselor based in Tulsa, OK and is specialized in Mental Health. Lisa Staires Pottorf practices in Tulsa, OK and has the professional credentials of MED,LPC. The NPI Number for Lisa Staires Pottorf is 1205031002 and holds a License No. 2224 (Oklahoma).

The current practice location address for Lisa Staires Pottorf is 4528 S Sheridan Rd Ste 117, Tulsa, OK and can be reached out via phone at 918-794-6570 and via fax at 918-340-5189.

Location: 4528 S Sheridan Rd Ste 117, Tulsa, OK, 74135
person
Provider Profile Details
NPI Number
1205031002
Provider Name
Lisa Staires Pottorf
Credential
MED,LPC
Provider Entity Type
Individual
Gender
Female
Address
4528 S Sheridan Rd Ste 117, Tulsa, OK, 74135
Phone Number
918-794-6570
Fax Number
918-340-5189
Provider Enumeration Date
06/20/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4528 S Sheridan Rd Ste 117
City
State
Zip
74145-1101
Phone Number
918-794-6570
Fax Number
918-340-5189
person
Provider Business Mailing Address Details
Address
4528 S Sheridan Rd Ste 117
City
State
Zip
74145-1101
Phone Number
918-794-6570
Fax Number
918-340-5189
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
2224 (Oklahoma)
Definition
Definition to come...
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