Provider Demographics
NPI:1609450600
Name:AEBI, BECKY (LPC CANDIDATE)
Entity Type:Individual
Prefix:
First Name:BECKY
Middle Name:
Last Name:AEBI
Suffix:
Gender:F
Credentials:LPC CANDIDATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1185 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NASH
Mailing Address - State:OK
Mailing Address - Zip Code:73761-5085
Mailing Address - Country:US
Mailing Address - Phone:580-747-2560
Mailing Address - Fax:
Practice Address - Street 1:6216 S LEWIS AVE STE 180
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-1077
Practice Address - Country:US
Practice Address - Phone:918-960-7852
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-06
Last Update Date:2023-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor