Individual
LAKISHA RENEE BEVERLY-REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
2310 W BROADWAY ST, MUSKOGEE, OK 74401-2761
(918) 682-7210
(918) 682-0801
Mailing address
PO BOX 1267, MUSKOGEE, OK 74402-1267
(918) 682-7210
(918) 682-0801
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1114
OK
Other
Enumeration date
04/09/2009
Last updated
04/25/2016
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