Doctor Name: | KASEY HENDRIX |
NPI Number: | 1063812915 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMFT, U/S |
License Number: | |
Business Practice Address: | 905 Nw 4th St Stigler, OK - 744621652 |
Business Phone Number: | 9189678223 |
Business Fax Number: | |
Mailing Address: | 905 Nw 4th St, STIGLER |
State: | OK |
Postal Code: | 744621652 |
Phone Number: | 9189678223 |
Fax Number: | |
NPI Enumeration Date: | 08/28/2014 |
NPI Last Update Date: | 08/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |