Individual provider · Type 1 NPI

Judith Florence Ide, B.A., M.ED.

Mental Health Counselor · Tulsa, OK

NPI number 1790016756 Active

Practice location

1516 S Boston Ave
Tulsa, OK 74119-4003

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1790016756

Judith Florence Ide, B.A., M.ED.'s National Provider Identifier is 1790016756, issued on Jan 14, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tulsa, OK. The record was last updated on Jan 14, 2010.