CHRISTIAN CARL GREEN

TULSA, OK
NPI1780080614
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: OK  U082662103)
Enumeration Date2014-11-04
Last Update Date2014-11-04
Business Address
CHRISTIAN CARL GREEN
11428 E 20TH ST
TULSA, OK 74128-6451
Phone number: 918-878-7877
Mailing Address
CHRISTIAN CARL GREEN
7402 S VICTOR AVE APT 1612
TULSA, OK 74136-7443
Phone number: 918-695-4100