Individual
JANIE M POPOUR-HOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
24919 S 4420 RD, VINITA, OK 74301-5529
(918) 256-9120
(918) 256-6377
Mailing address
24919 S 4420 RD, VINITA, OK 74301-5529
(918) 256-9120
(918) 256-6377
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
326
OK
Other
Enumeration date
05/11/2009
Last updated
05/11/2009
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