Individual
MRS. BETHANY D'ANN IGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
2250 N AIRPORT RD, WEATHERFORD, OK 73096-3351
(405) 255-0706
Mailing address
1413 SABER LN, WEATHERFORD, OK 73096-2407
(405) 255-0706
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
0000000000
OK
Other
Enumeration date
03/05/2008
Last updated
10/06/2022
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