Organization
PORCHLIGHT COUNSELING AND CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY S HAZEN LCSW (THERAPIST)
(405) 219-9283
Entity
Organization
Contact information
Practice address
5021 RED HILL RD, NEWALLA, OK 74857-8834
(405) 219-9283
Mailing address
5021 RED HILL RD, NEWALLA, OK 74857-8834
(405) 219-9283
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/21/2025
Last updated
05/29/2025
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