LAKISHA RENEE BEVERLY-REED

MUSKOGEE, OK
NPI1720221526
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OK  1114)
Enumeration Date2009-04-09
Last Update Date2016-04-25
Business Address
LAKISHA RENEE BEVERLY-REED LADC
2310 W BROADWAY ST
MUSKOGEE, OK 74401-2761
Phone number: 918-682-7210
Mailing Address
LAKISHA RENEE BEVERLY-REED LADC
PO BOX 1267
MUSKOGEE, OK 74402-1267
Phone number: 918-682-7210