Individual
HAL LEWIS SHOFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, LADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
479
OK
1041C0700X
Clinical Social Worker
Primary
1844
OK
Other
Enumeration date
01/25/2007
Last updated
07/21/2017
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