Individual
MRS. KATHRYN RENEE HAYDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LADC
Contact information
Practice address
1601 S STATE ST, EDMOND, OK 73013-3626
(405) 650-9769
Mailing address
1601 S. STATE STREET, SUITE 100, EDMOND, OK 73013
(405) 650-9769
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
633
OK
1041C0700X
Clinical Social Worker
Primary
3473
OK
Other
Enumeration date
08/14/2007
Last updated
06/04/2015
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