Individual provider · Type 1 NPI

Bethany Mae Kacirek, LPC-C, LADCMH-C

Counselor · Tahlequah, OK

NPI number 1871357541 Active

Practice location

1640 W Keetoowah St
Tahlequah, OK 74464-3497

Call (918) 708-9009 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone 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 1871357541

Bethany Mae Kacirek, LPC-C, LADCMH-C's National Provider Identifier is 1871357541, issued on Feb 12, 2024. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Tahlequah, OK. The record was last updated on Mar 31, 2026.