Individual provider · Type 1 NPI

Ebony Tyler Portis, BHS

Professional Counselor · Oklahoma City, OK

NPI number 1043576192 Active

Practice location

1900 NE 36th St Ste 100G
Oklahoma City, OK 73111-5218

Call (405) 270-0005 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X101YP2500X

Professional Counselor: Definition to come...

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About NPI 1043576192

Ebony Tyler Portis, BHS's National Provider Identifier is 1043576192, issued on Apr 3, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Oklahoma City, OK. The record was last updated on Apr 3, 2012.