Organization
HOPE FAMILY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RITA U DANIEL LPC, NCC, LADC (THERAPIST)
(580) 583-5757
Entity
Organization
Contact information
Practice address
1817 W GORE BLVD, LAWTON, OK 73501-3614
(580) 583-5737
Mailing address
1817 W GORE BLVD, LAWTON, OK 73501-3614
(580) 583-5737
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3153
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396975983
NPI
OK
Enumeration date
04/18/2012
Last updated
04/18/2012
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