Individual
DYLAN ALLEN HETHERINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-C
Contact information
Practice address
120 W BROADWAY AVE, THOMAS, OK 73669
(580) 661-3488
Mailing address
120 W BROADWAY AVE, THOMAS, OK 73669
(580) 661-3488
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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