Individual
MRS. DEDRA ANN HANSBRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
909 ALAMEDA ST, NORMAN, OK 73071-5229
(405) 360-5100
Mailing address
2240 W MICKEY DR, MUSTANG, OK 73064-4043
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11847
OK
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/14/2020
Last updated
02/09/2026
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