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NPI Code Detail

MEDICARE: MS. HOPE L HUMPHREY

MEDICARE:  MS. HOPE L HUMPHREY
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
1101YA0400XAddiction (Substance Use Disorder) Counselor
2106H00000XMarriage & Family Therapist1289OK

General Provider Information

NPI Number : 1861785719
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. HOPE L HUMPHREY
Provider Business Mailing Address
First Line : 4301 WILSON ST
Second Line :
City : LAWTON
State : OK
Zip : 73503-4472
Country : US
Telephone Number : 580-442-4678
Fax Number :
Provider Business Practice Location Address
First Line : 4301 WILSON ST
Second Line :
City : LAWTON
State : OK
Zip : 73503-4472
Country : US
Telephone Number : 580-442-4678
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2011
Last Update Date : 02/27/2025

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Directions to “ MS. HOPE L HUMPHREY ” Practice Location

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