Individual
ELIZABETH R MESSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHRS
Contact information
Practice address
4 SE AVE A, IDABEL, OK 74745-4620
(580) 286-5262
(580) 286-5595
Mailing address
PO BOX 286, BROKEN BOW, OK 74728-0286
(580) 743-1548
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200049040W
—
OK
Enumeration date
03/20/2012
Last updated
03/20/2012
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