Individual
BETHANY A DECH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LADC
Contact information
Practice address
6612 NW 42ND ST, BETHANY, OK 73008-2764
(405) 717-6200
Mailing address
14800 BLACKJACK DR, PIEDMONT, OK 73078-8954
(405) 317-8824
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
858
OK
101YP2500X
Professional Counselor
Primary
3953
OK
Other
Enumeration date
03/01/2009
Last updated
12/31/2016
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