Individual
MADISON HENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
817 E 6TH ST, TISHOMINGO, OK 73460-1800
(580) 387-2719
Mailing address
1300 HOPPE BLVD STE 1, ADA, OK 74820-2319
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11244
OK
Other
Enumeration date
01/18/2023
Last updated
01/27/2023
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