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-- LAKISHA RENEE BEVERLY-REED -- LADC

Individual Provider (NPI-1) Active

Counselor, Addiction (Substance Use Disorder)

Provider Information

NPI Number
1720221526
Provider Type
Individual Provider (NPI-1)
Credentials
LADC
Status
Active

Contact & Location

Address
2310 W BROADWAY ST, MUSKOGEE, OK, 744012761
Phone
(918) 682-7210
Fax
(918) 682-0801

Specialties & Taxonomies

Counselor, Addiction (Substance Use Disorder) Primary License: OK #1114

All Addresses

MAILING

PO BOX 1267

MUSKOGEE, OK, 744021267

(918) 682-7210

LOCATION

2310 W BROADWAY ST

MUSKOGEE, OK, 744012761

(918) 682-7210