Individual
MRS. BETH A MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, LPC
Contact information
Practice address
115 E 1ST ST, WATONGA, OK 73772-3817
(580) 623-9191
Mailing address
300 N SAMPSON AVE, WATONGA, OK 73772-2628
(580) 623-9191
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4340
OK
Other
Enumeration date
06/22/2010
Last updated
06/22/2010
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