LARRY GENE DOTSON MS UNDER LPC SUPERVI
NPI 1598966749
Counselor - Mental Health in Tulsa, OK
Active since May 29, 2007
About Larry Gene Dotson Ms Under Lpc Supervi NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LARRY GENE DOTSON MS UNDER LPC SUPERVI (NPI 1598966749) is an individual mental health provider in Tulsa, Oklahoma, licensed in Oklahoma (UNDER SUPERVISION) and active in the NPI registry since May 2007.
NPPES Registry Identity
NPI1598966749
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameLARRY GENE DOTSONCredential: MS UNDER LPC SUPERVI
Location Address616 S BOSTON AVETulsa, OK 74119-1208
Mailing Address3112 N Ironwood AveBroken Arrow, OK 74012-1769 · (918) 698-7684
Phone(918) 382-7300
Sole ProprietorNo
Enumeration DateMay 29, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1598966749 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OK · UNDER SUPERVISION
616 S BOSTON AVE, Tulsa, OK 74119
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1598966749, enumerated as an "individual" on May 29, 2007.
The provider is located at 616 S BOSTON AVE TULSA, OK 74119 and the phone number is (918) 382-7300.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
