Individual
JACK LAWRENCE HODGDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LPC CANIDATE
Contact information
Practice address
605 W OXFORD AVE, ENID, OK 73701-1208
(580) 233-7220
Mailing address
5205 GRIZZLY LN, ENID, OK 73703-5069
(580) 402-5332
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
OK
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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