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Individual

MR. MARK ALLAN HENRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S. LPC CANDIDATE

Contact information

Practice address
600 AVANT AVE, CLINTON, OK 73601-3916
(580) 323-3322
(580) 323-6233
Mailing address
600 AVANT AVE, CLINTON, OK 73601-3916
(580) 323-3322
(580) 323-6233

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
02/04/2013
Last updated
08/25/2014
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