Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 1570 | OK |
NPI | 1003313305 |
---|---|
Provider Name | Sharon Zang |
First Address | Tulsa, OK 74104-5107 |
Second Address | Tulsa, OK 74135-2619 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2018 |
Last Update Date | 12/04/2018 |