Individual
MR. JOSH JORDAN BEAVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2448 E 81ST ST STE 5100, TULSA, OK 74137-4289
(405) 822-7635
Mailing address
2448 E 81ST ST STE 5100, TULSA, OK 74137-4289
(405) 822-7635
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/13/2015
Last updated
09/12/2023
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