Individual
ANTHONY JADEN BASQUINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHR, LPC
Contact information
Practice address
2500 MCGEE DR STE 126, NORMAN, OK 73072-6705
(405) 706-9269
Mailing address
2500 MCGEE DR STE 126, NORMAN, OK 73072-6705
(405) 706-9269
(405) 535-6269
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5542
OK
Other
Enumeration date
12/20/2014
Last updated
08/21/2019
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