Individual
MRS. BETSY LYNN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13100 S 4240 RD, CHELSEA, OK 74016-3231
(918) 833-0706
Mailing address
13100 S 4240 RD, CHELSEA, OK 74016-3231
(918) 833-0706
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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