person
Ms. Hazel Mae Southerland, LPC
Mental Health Counselor in Durant, Oklahoma
NPI 1457663908

Hazel Mae Southerland is a Mental Health Counselor based in Durant, OK and is specialized in Mental Health. Hazel Mae Southerland practices in Durant, OK and has the professional credentials of LPC. The NPI Number for Hazel Mae Southerland is 1457663908 and holds a License No. 3106 (Oklahoma).

The current practice location address for Hazel Mae Southerland is 212 W Evergreen St, Durant, OK and can be reached out via phone at 580-931-9901 and via fax at 580-931-9953.

Location: 212 W Evergreen St, Durant, OK, 74701-4710
person
Provider Profile Details
NPI Number
1457663908
Provider Name
Hazel Mae Southerland
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
212 W Evergreen St, Durant, OK, 74701-4710
Phone Number
580-931-9901
Fax Number
580-931-9953
Provider Enumeration Date
07/12/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
212 W Evergreen St
City
State
Zip
74701-4710
Phone Number
580-931-9901
Fax Number
580-931-9953
person
Provider Business Mailing Address Details
Address
212 W Evergreen St
City
State
Zip
74701-4710
Phone Number
580-931-9901
Fax Number
580-931-9953
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
3106 (Oklahoma)
Definition
Definition to come...
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