JACOB SCOTT GESTLAND

TULSA, OK
NPI1821822859
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date2024-08-30
Last Update Date2024-08-30
Business Address
JACOB SCOTT GESTLAND
4103 S YALE AVE STE C
TULSA, OK 74135-6002
Phone number: 918-465-4110
Mailing Address
JACOB SCOTT GESTLAND
4103 S YALE AVE STE C
TULSA, OK 74135-6002
Phone number: 918-465-4110