person
Mr. Jackson Kyle Tefertiller, LPC
Addiction (Substance Use Disorder) Counselor in Tulsa, Oklahoma
NPI 1841535259

Jackson Kyle Tefertiller is an Addiction (Substance Use Disorder) Counselor based in Tulsa, OK and is specialized in Addiction (Substance Use Disorder). Jackson Kyle Tefertiller practices in Tulsa, OK and has the professional credentials of LPC. The NPI Number for Jackson Kyle Tefertiller is 1841535259 and holds a License No. (Oklahoma).

The current practice location address for Jackson Kyle Tefertiller is 2325 S Harvard Ave, Tulsa, OK and can be reached out via phone at 918-712-4301 and via fax at 918-560-1399.

Location: 2325 S Harvard Ave, Tulsa, OK, 74120-4429
person
Provider Profile Details
NPI Number
1841535259
Provider Name
Jackson Kyle Tefertiller
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
2325 S Harvard Ave, Tulsa, OK, 74120-4429
Phone Number
918-712-4301
Fax Number
918-560-1399
Provider Enumeration Date
12/11/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2325 S Harvard Ave
City
State
Zip
74114-3300
Phone Number
918-712-4301
Fax Number
918-560-1399
person
Provider Business Mailing Address Details
Address
2325 S Harvard Ave
City
State
Zip
74114-3300
Phone Number
918-712-4301
Fax Number
918-560-1399
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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