Doctor Name: | JERRY BEECH |
NPI Number: | 1710252747 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S., LPC |
License Number: | 2266 |
Business Practice Address: | 305 Nw Sheridan Rd Ste C Lawton, OK - 735056520 |
Business Phone Number: | 5805365102 |
Business Fax Number: | 5805365102 |
Mailing Address: | 305 Nw Sheridan Rd Ste C, LAWTON |
State: | OK |
Postal Code: | 735056520 |
Phone Number: | 5805365102 |
Fax Number: | 5805365102 |
NPI Enumeration Date: | 03/08/2012 |
NPI Last Update Date: | 03/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 2266 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |