Individual
DANE BEAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5812 NW 83RD ST, OKLAHOMA CITY, OK 73132-4916
(405) 831-3082
Mailing address
2233 NW 54TH ST, OKLAHOMA CITY, OK 73112-7714
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1700180
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/19/2020
Last updated
10/06/2022
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