Individual
BETHANY MEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21171 CONSER RD, HODGEN, OK 74939
(918) 653-3470
Mailing address
21171 CONSER RD, HODGEN, OK 74939
(918) 653-3470
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/29/2011
Last updated
07/19/2012
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