Individual
JOHN HEWETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
405 MAGNOLIA ST, TAHLEQUAH, OK 74464-4818
(918) 207-9518
Mailing address
405 MAGNOLIA ST, TAHLEQUAH, OK 74464-4818
(918) 207-9518
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/07/2010
Last updated
02/23/2011
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