Maria Adeshina

Individual provider Active NPI Professional Counselor · Tulsa, OK

NPI 1164945820 · NPPES record last updated Jul 24, 2017

Key facts

NPI
1164945820
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
409 (OK)
Practice address
2027 N Martin Luther King Jr Blvd
Tulsa, OK 74106-6419
Phone
(918) 592-1186
NPI assigned
Jul 24, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
409OKMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 409 OK Yes

Addresses

Primary practice location

2027 N Martin Luther King Jr Blvd
Tulsa, OK 74106-6419

Mailing address

11960 E 16TH PL
Tulsa, OK 74128-5816
Phone (918) 850-1376

Other providers in Tulsa, OK

All providers in Tulsa, OK · Professional Counselor in Oklahoma

Sources for this page

Verify at the official NPI Registry.