Individual
MRS. KIMBERLY ANN BEAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6030 E. 66TH E. AVE, TULSA, OK 74145
(918) 809-6953
Mailing address
6030 S 66TH EAST AVE, TULSA, OK 74145-9236
(918) 809-6953
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1172
OK
Other
Enumeration date
12/21/2011
Last updated
05/31/2012
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