Individual
MRS. LATRICE W HUNNICUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
1501 LERA STE 5, WEATHERFORD, OK 73096
(580) 819-2283
Mailing address
1225 E MAIN ST STE C, WEATHERFORD, OK 73096-5718
(580) 819-2283
(580) 772-0577
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
6326
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200519060B
SOONER CARE
OK
Enumeration date
09/27/2013
Last updated
05/16/2019
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