Individual
JOHN HATHCOAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
1010 E WILL ROGERS BLVD, CLAREMORE, OK 74017-6352
(918) 342-3334
(918) 342-3367
Mailing address
1010 E WILL ROGERS BLVD, CLAREMORE, OK 74017-6352
(918) 342-3334
(918) 342-3367
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
NONE
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101YA0400X
TOXONAMY
OK
Enumeration date
07/30/2007
Last updated
07/30/2007
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