Annette Betterton
Individual provider Active NPI Counselor · Guymon, OK
NPI 1659683274 · NPPES record last updated Jul 12, 2010
Key facts
- NPI
- 1659683274
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 1004 E Highway 54
Guymon, OK 73942-4549 - Phone
- (580) 338-7259
- Fax
- (580) 338-2521
- NPI assigned
- Jul 12, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
1004 E Highway 54
Guymon, OK 73942-4549
Mailing address
1004 E Highway 54
Guymon, OK 73942-4549
Phone (580) 338-7259
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 441787330 | Other | OK | BEHAVIOR HEALTH |
Other providers in Guymon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.