Individual
MRS. BROOKE DAWN HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
4436 NW 50TH ST, OKLAHOMA CITY, OK 73112-2212
(405) 858-2820
Mailing address
4436 NW 50TH ST, OKLAHOMA CITY, OK 73112-2212
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12
OK
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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