Individual
NICHOLE BEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC/MH-C
Contact information
Practice address
1101 S BELMONT AVE STE 106, OKMULGEE, OK 74447-6315
(918) 758-1910
Mailing address
PO BOX 143, JENKS, OK 74037-0143
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/12/2021
Last updated
12/16/2025
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