Individual
BEVERLY JOAN BELLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, BCBA
Contact information
Practice address
605 W OXFORD AVE, ENID, OK 73701-1208
(580) 233-7220
Mailing address
2313 HOMESTEAD RD, ENID, OK 73703-1645
(580) 747-0747
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1663
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1663
LICENSED PROFESSIONAL COUNSELOR LPC
OK
Enumeration date
08/24/2009
Last updated
08/24/2009
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