Organization
BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID HAGEDORN (LPC)
(972) 424-9212
Entity
Organization
Contact information
Practice address
1901 N HUDSON ST, ALTUS, OK 73521-2027
(972) 424-9212
(972) 509-1450
Mailing address
1901 N HUDSON ST, ALTUS, OK 73521-2027
(972) 424-9212
(972) 509-1450
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
05/31/2007
Last updated
08/22/2020
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