Individual
MR. ALAN JUSTIN HENSLEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BHRS
Contact information
Practice address
311 SW 4TH ST, ANTLERS, OK 74523-3619
(580) 271-0412
Mailing address
311 SW 4TH ST, ANTLERS, OK 74523-3619
(580) 271-0412
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
Other
Enumeration date
08/03/2012
Last updated
08/03/2012
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