Individual
MR. AUSTEN TIMOTHY HENDRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4308 MAPLE DR, SAND SPRINGS, OK 74063-2437
(405) 762-9224
Mailing address
4308 MAPLE DR, SAND SPRINGS, OK 74063-2437
(405) 762-9224
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/24/2013
Last updated
07/24/2013
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