Individual provider · Type 1 NPI

Altis Beatrice Rutherford, BA, BHRS, CM-A

Counselor · Valliant, OK

NPI number 1720118276 Active

Practice location

300 N Dalton
Valliant, OK 74764

Fax (580) 286-5206

Mailing address

PO Box 673
Valliant, OK 74764-0673

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: 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's degree and clinical experience and supervision for licensure or certification.

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About NPI 1720118276

Altis Beatrice Rutherford, BA, BHRS, CM-A's National Provider Identifier is 1720118276, issued on Mar 6, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Valliant, OK. The record was last updated on Sep 22, 2011.