Individual
MR. ETHAN FELIX HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC; CVE
Contact information
Practice address
202 EAST FOURTH, MANITOU, OK 73555
(405) 820-5845
Mailing address
PO BOX 128, MANITOU, OK 73555-0128
(405) 820-5845
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3905
OK
Other
Enumeration date
02/26/2010
Last updated
07/27/2021
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