Individual
MR. ELVIN BETHEL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
2401 NW 23RD ST STE 85, OKLAHOMA CITY, OK 73107-2431
(405) 522-3804
Mailing address
7224 NW 215TH ST, EDMOND, OK 73012-9500
(405) 348-2970
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1774
OK
Other
Enumeration date
11/28/2006
Last updated
12/19/2012
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