person
Holley Michelle Elam
Professional Counselor in Tulsa, Oklahoma
NPI 1629583620

Holley Michelle Elam is a Professional Counselor based in Tulsa, OK and is specialized in Professional. Holley Michelle Elam practices in Tulsa, OK. The NPI Number for Holley Michelle Elam is 1629583620 and holds a License No. 73702 (Oklahoma).

The current practice location address for Holley Michelle Elam is 7715 E 111Th St Ste 120, Tulsa, OK and can be reached out via phone at 918-800-6385 and via fax at 832-626-3028.

Location: 7715 E 111Th St Ste 120, Tulsa, OK, 74136-8413
person
Provider Profile Details
NPI Number
1629583620
Provider Name
Holley Michelle Elam
Credential
Provider Entity Type
Individual
Gender
Female
Address
7715 E 111Th St Ste 120, Tulsa, OK, 74136-8413
Phone Number
918-800-6385
Fax Number
832-626-3028
Provider Enumeration Date
12/13/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00000000000000 01 NONE
institution
Provider Business Practice Location Address Details
Address
7715 E 111Th St Ste 120
City
State
Zip
74133-2582
Phone Number
918-800-6385
Fax Number
832-626-3028
person
Provider Business Mailing Address Details
Address
7715 E 111Th St Ste 120
City
State
Zip
74133-2582
Phone Number
918-800-6385
Fax Number
832-626-3028
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
73702 (Texas)
Definition
Definition to come...
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