Individual
DR. JOHN WILLIAM HITCHCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LADC
Contact information
Practice address
1800 YALE AVE, PONCA CITY, OK 74604-2747
(580) 761-8060
Mailing address
1800 YALE AVE, PONCA CITY, OK 74604-2747
(580) 761-8060
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
686
OK
Other
Enumeration date
10/14/2010
Last updated
11/29/2011
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