Organization
BREAKAWAY MENTAL HEALTH, PLLC
Active
Other names
LPC - Candidate
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BECKY DIANE AEBI LPC (OWNER/CEO)
(405) 385-4225
Entity
Organization
Contact information
Practice address
116 W 7TH AVE STE 324, STILLWATER, OK 74074-4018
(405) 385-4225
Mailing address
116 W 7TH AVE STE 324, STILLWATER, OK 74074-4018
(405) 385-4225
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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