Individual
MRS. MAX ANNA HANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED. LPC, LADC
Contact information
Practice address
2600 W. COFFEE CREEK RD, EDMOND, OK 73025
(405) 208-1973
Mailing address
2600 W. COFFEE CREEK RD, EDMOND, OK 73025
(405) 208-1973
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
162
OK
101YM0800X
Mental Health Counselor
1544
OK
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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