Individual
MS. MISTY B ELLERBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC CANDIDATE
Contact information
Practice address
401 S. OKLAHOMA, LANGSTON, OK 73050
(405) 326-6102
Mailing address
PO BOX 754, LANGSTON, OK 73050-0754
(405) 326-6102
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/19/2010
Last updated
05/19/2010
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