MEDICARE: SARA HAAS

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
1	101Y00000X	Counselor	11488	OK

General Provider Information

NPI Number	:	1558137471
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA HAAS

Provider Business Mailing Address
First Line	:	5350 S PEORIA AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74105-6820
Country	:	US
Telephone Number	:	918-749-1991
Fax Number	:	918-747-0197

Provider Business Practice Location Address
First Line	:	5350 S PEORIA AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74105-6820
Country	:	US
Telephone Number	:	918-749-1991
Fax Number	:	918-747-0197

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2023
Last Update Date	:	12/01/2023

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Directions to “ SARA HAAS ” Practice Location

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