Individual
MARIANNE HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LBP
Contact information
Practice address
2114 SE WASHINGTON BLVD, BARTLESVILLE, OK 74006-7254
(918) 876-4211
(918) 876-4215
Mailing address
1601 OLD SOUTH RIVER RD, SAINT CHARLES, MO 63303-4120
(636) 224-1210
(636) 246-1008
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2092
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100746170G
—
OK
05
—
200362830A
—
OK
Enumeration date
09/25/2009
Last updated
03/08/2024
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