Individual
CATHY L HASENBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
129 SE 1ST ST, MOORE, OK 73160-5201
(405) 831-9739
Mailing address
129 SE 1ST ST, MOORE, OK 73160-5201
(405) 831-9739
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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