Individual
BROOK BEAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LPC
Contact information
Practice address
4045 NW 64TH ST STE 520, OKLAHOMA CITY, OK 73116-8608
(405) 842-4911
(405) 842-5807
Mailing address
PO BOX 722041, NORMAN, OK 73070-8548
(405) 831-4125
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2115
OK
Other
Enumeration date
07/18/2017
Last updated
07/18/2017
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