Keisha D Beal
Counselor in Broken Arrow, OK. Individual provider (NPI-1).
NPI number1497097067
StatusActive
Last updated in NPPESMar 21, 2013
Details
- NPI
- 1497097067
- Entity type
- Individual (NPI-1)
- Name
- Ms. Keisha D Beal
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 21, 2013
- Last updated
- Mar 21, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
1306 W Phoenix PlBroken Arrow, OK 74011-1818
Phone 504-957-3384
Mailing address
1306 W Phoenix PlBroken Arrow, OK 74011-1818
Phone 504-957-3384
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