Individual
HILLARY JANE UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
1330 N CLASSEN BLVD STE 209, OKLAHOMA CITY, OK 73106-6834
(405) 808-8744
Mailing address
6500 NW 34TH ST, BETHANY, OK 73008-4101
(405) 808-8744
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
6605
OK
Other
Enumeration date
06/14/2017
Last updated
03/17/2018
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