Individual
MR. MICHAEL JOSEPH HANES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MAT, ATR-BC, LPC
Contact information
Practice address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5104
(405) 424-7711
Mailing address
3305 HUNTING HAWK CIR, EDMOND, OK 73013-6805
(405) 641-1375
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1538
OK
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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