Individual
JENNIFER GRACE BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LADC, CPRSS
Contact information
Practice address
114 W DELAWARE AVE, NOWATA, OK 74048
(918) 533-6876
Mailing address
114 W DELAWARE AVE, NOWATA, OK 74048-2601
(918) 533-6876
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
99668
TX
175T00000X
Peer Specialist
—
—
Other
Enumeration date
11/08/2010
Last updated
08/06/2025
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