Individual
MS. SHIRLEY JOYCE BECKENHAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
5208 CLASSEN CIR, OKLAHOMA CITY, OK 73118-4429
(405) 810-1766
(405) 810-0331
Mailing address
301 W I 240 SERVICE RD, OKLAHOMA CITY, OK 73139-7701
(405) 604-9644
(405) 604-9689
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
168
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
168
LICENSED ALCOHOL AND DRUG
OK
Enumeration date
05/03/2007
Last updated
07/08/2007
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