Individual provider · Type 1 NPI

Jack Lawrence Hodgden, MS, LPC CANIDATE

Mental Health Counselor · Enid, OK

NPI number 1821646654 Active

Practice location

605 W Oxford Ave
Enid, OK 73701-1208

Mailing address

5205 Grizzly Ln
Enid, OK 73703-5069

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1821646654

Jack Lawrence Hodgden, MS, LPC CANIDATE's National Provider Identifier is 1821646654, issued on Aug 26, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Enid, OK. The record was last updated on Aug 26, 2019.