JACKSON KYLE TEFERTILLER

TULSA, OK
NPI1841535259
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-12-11
Last Update Date2014-09-04
Business Address
Mr. JACKSON KYLE TEFERTILLER LPC
2325 S HARVARD AVE
TULSA, OK 74114-3300
Phone number: 918-712-4301
Mailing Address
Mr. JACKSON KYLE TEFERTILLER LPC
650 S PEORIA AVE
TULSA, OK 74120-4429
Phone number: 918-587-9471
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