Individual
MS. EVA HARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC, LPC (US)
Contact information
Practice address
414 W MONROE ST, PURCELL, OK 73080-3208
(405) 420-2469
Mailing address
P.O. BOX 216, WANETTE, OK 74878
(405) 420-2469
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
585
OK
101YM0800X
Mental Health Counselor
—
OK
Other
Enumeration date
07/01/2009
Last updated
12/28/2012
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