Most Relevant Information
Provider Data
| NPI Number: | 1003646894 |
| Provider Name: | CATHY L HASENBECK |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/06/2024 |
| Last Updated: | 08/06/2024 |
Provider Practice Location
129 SE 1ST ST
MOORE
OK
731605201
Practice Location Phone/Fax
| Phone: | 4058319739 |
| Fax: |
Provider Mailing Location
129 SE 1ST ST
MOORE
OK
731605201
Provider Mailing Phone/Fax
| Phone: | 4058319739 |
| Fax: |