Travis Lee Warden COUNSELOR

NPI 1225240849 - Counselor - 101YA0400X

NPI Details
NPI 1225240849
Gender Male
Enumeration Date 05/04/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
TULSA OK, 74135-6106, US
Phone (918) 664-4224
Fax (918) 663-0203
Business Location
14921 S 4050 RD
OOLOGAH OK, 74053-3782, US
Phone (918) 371-2576
Fax (918) 371-4858
Taxonomy Code 101YA0400X
License State Oklahoma
License Number 261
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According to our database, Mr. Travis Lee Warden COUNSELOR NPI is 1225240849, taxonomy code is 101YA0400X and license number is 261, license state is located at Oklahoma. Travis Lee Warden COUNSELOR physically located at 6333 E Skelly Dr, Tulsa OK, 74135-6106. NPI Number Travis Lee Warden COUNSELOR has the Individual type.

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1225240849 NPI number is provided on an as is basis without warranty of any kind. 1225240849 is maintained by the National Plan & Provider Enumeration System. The contents of Travis Lee Warden COUNSELOR are for informational purposes only.