Individual provider · Type 1 NPI

Lisa Staires Pottorf, M.ED., LPC

Mental Health Counselor · Tulsa, OK

NPI number 1205031002 Active

Practice location

4528 S Sheridan Rd Ste 117
Tulsa, OK 74145-1101

Call (918) 794-6570 Map

Fax (918) 340-5189

Mailing address

4525 S. Irvington Ave.
Tulsa, OK 74135

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X2224 (OK)

Mental Health Counselor: Definition to come...

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About NPI 1205031002

Lisa Staires Pottorf, M.ED., LPC's National Provider Identifier is 1205031002, issued on Jun 20, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tulsa, OK. The record was last updated on Jul 3, 2012.