MEDICARE: DANA HAYES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1255677514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANA HAYES

Provider Business Mailing Address
First Line	:	8104 MEGAN DR
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73135-6046
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8104 MEGAN DR
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73135-6046
Country	:	US
Telephone Number	:	405-503-3073
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2012
Last Update Date	:	12/13/2012

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Directions to “ DANA HAYES ” Practice Location

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