Gary Roberts JR. is a Counselor based in Tulsa, OK. Gary Roberts JR. practices in Tulsa, OK. The NPI Number for Gary Roberts JR. is 1861740250 and holds a License No. (Oklahoma).
The current practice location address for Gary Roberts JR. is 6202 S Lewis Ave Ste H, Tulsa, OK and can be reached out via phone at 918-428-8594.
Location: 6202 S Lewis Ave Ste H, Tulsa, OK, 74112-3921
Provider Profile Details
NPI Number
1861740250
Provider Name
Gary Roberts JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
6202 S Lewis Ave Ste H, Tulsa, OK, 74112-3921
Phone Number
918-428-8594
Fax Number
Provider Enumeration Date
08/16/2012
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200287120A | 05 | OK |
Provider Business Practice Location Address Details
Address
6202 S Lewis Ave Ste H
City
State
Zip
74136-1064
Phone Number
918-428-8594
Fax Number
Provider Business Mailing Address Details
Address
6202 S Lewis Ave Ste H
City
State
Zip
74136-1064
Phone Number
918-428-8594
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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