Individual
MS. CANDICE LEIGH HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LPC
Contact information
Practice address
1428 S LITTLE AVE APT B104, CUSHING, OK 74023-4841
(918) 908-0823
Mailing address
1428 S LITTLE AVE APT B104, CUSHING, OK 74023-4841
(918) 908-0823
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10615
OK
175T00000X
Peer Specialist
108211
OK
225400000X
Rehabilitation Practitioner
—
—
251B00000X
Case Management Agency
310698
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200555170A
—
OK
05
—
200555170B
—
OK
Enumeration date
04/23/2010
Last updated
03/13/2025
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