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Individual

VICKY E HAMPTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LADC, LPC, NCC

Contact information

Practice address
1401 NW 150TH ST STE A, EDMOND, OK 73013-2169
(405) 777-9459
Mailing address
1401 NW 150TH ST STE A, EDMOND, OK 73013-2169
(405) 777-9459

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
470
OK
101YM0800X
Mental Health Counselor
3857
OK
101YP2500X
Professional Counselor
Primary
3857
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1629300439
101YA0400X - COUNSELOR - ADDICTION (SUBTANCE USE DISORDER)
OK
Enumeration date
02/03/2010
Last updated
05/21/2024
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