Individual
JERRY BEECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., LPC
Contact information
Practice address
305 NW SHERIDAN RD STE C, LAWTON, OK 73505-6520
(580) 536-5102
(580) 536-5102
Mailing address
305 NW SHERIDAN RD STE C, LAWTON, OK 73505-6520
(580) 536-5102
(580) 536-5102
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2266
OK
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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