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NPI Code Detail

MEDICARE: DESIREE R HESKETT LPC CANDIDATE

MEDICARE: DESIREE R HESKETT LPC CANDIDATE
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1528267846
Entity Type Code : Individual
Provider Name (Legal Business Name) : DESIREE R HESKETT LPC CANDIDATE
Provider Business Mailing Address
First Line : 114 W DELAWARE AVE
Second Line :
City : NOWATA
State : OK
Zip : 74048-2601
Country : US
Telephone Number : 918-273-1841
Fax Number : 918-273-1843
Provider Business Practice Location Address
First Line : 700 S.W. PENN
Second Line :
City : BARTLESVILLE
State : OK
Zip : 74003-3847
Country : US
Telephone Number : 918-337-8080
Fax Number : 918-337-8099
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2007
Last Update Date : 12/31/2013

Similar Medicare Providers

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Practice Location Address:
700 S PENN AVE
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1730238148 — MR. JOHN ROBERT JONES LCSW
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1285855304 — MARVIN G WRIGHT BS
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1063627222 — MS. DAWN GRAY BA
Practice Location Address:
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1376743930 — JEFFREY ALLEN CHAPMAN B.S.
Practice Location Address:
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Directions to “ DESIREE R HESKETT LPC CANDIDATE” Practice Location

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