person
Mr. Michael R Hathcock, BS
Mental Health Counselor in Moore, Oklahoma
NPI 1407134315

Michael R Hathcock is a Mental Health Counselor based in Newalla, OK and is specialized in Mental Health. Michael R Hathcock practices in Moore, OK and has the professional credentials of BS. The NPI Number for Michael R Hathcock is 1407134315 and holds a License No. (Oklahoma).

The current practice location address for Michael R Hathcock is 800 Ne 19Th St, Moore, OK and can be reached out via phone at 405-912-5145 and via fax at 405-912-5147.

Location: 800 Ne 19Th St, Moore, OK, 74857-1255
person
Provider Profile Details
NPI Number
1407134315
Provider Name
Michael R Hathcock
Credential
BS
Provider Entity Type
Individual
Gender
Male
Address
800 Ne 19Th St, Moore, OK, 74857-1255
Phone Number
405-912-5145
Fax Number
405-912-5147
Provider Enumeration Date
07/26/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
800 Ne 19Th St
City
State
Zip
73160-6302
Phone Number
405-912-5145
Fax Number
405-912-5147
person
Provider Business Mailing Address Details
Address
800 Ne 19Th St
City
State
Zip
73160-6302
Phone Number
405-912-5145
Fax Number
405-912-5147
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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