Individual
MRS. ANNETTE HABEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC-MH CANDIDATE
Contact information
Practice address
5350 S WESTERN AVE, OKLAHOMA CITY, OK 73109
(405) 605-8488
Mailing address
5350 S WESTERN AVE, OKLAHOMA CITY, OK 73109-4520
(405) 605-8488
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OK
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134509540
—
OK
Enumeration date
06/02/2015
Last updated
03/22/2019
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