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NPI Code Detail

MEDICARE: JULIE REPSCHLAGER

MEDICARE: JULIE REPSCHLAGER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1194145128
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE REPSCHLAGER
Provider Business Mailing Address
First Line : 2001 S GARNETT RD
Second Line : SUITE G
City : TULSA
State : OK
Zip : 74128-1836
Country : US
Telephone Number : 918-878-7877
Fax Number :
Provider Business Practice Location Address
First Line : 2121 S 125TH EAST AVE STE 106
Second Line :
City : TULSA
State : OK
Zip : 74129-5800
Country : US
Telephone Number : 918-574-8442
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2014
Last Update Date : 04/18/2025

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Directions to “ JULIE REPSCHLAGER ” Practice Location

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