Individual
MRS. SUSAN HAZELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC U/S
Contact information
Practice address
5228 CLASSEN CIR, OKLAHOMA CITY, OK 73118-4429
(405) 840-9000
Mailing address
5228 CLASSEN CIR, OKLAHOMA CITY, OK 73118-4429
(405) 840-9000
(405) 840-9017
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
OK
Other
Enumeration date
03/01/2012
Last updated
07/01/2014
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