Individual
CLINT ERNEST HARDESTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1008 24TH AVE NW, NORMAN, OK 73069-6369
(405) 310-3262
Mailing address
1008 24TH AVE NW, NORMAN, OK 73069-6369
(405) 310-3262
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
05/11/2022
Last updated
05/11/2022
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