Hammons, Justin

Hammons, Justin is an individual health care provider with primary practice located at 1390 S Douglas Blvd Ste 102 , Midwest City OK 73130-5271. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Hammons, Justin can be contacted via phone (405) 679-4977.

Contact Information

Primary practice address
1390 S Douglas Blvd Ste 102 Midwest City OK 73130-5271
Phone: (405) 679-4977
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1348 Oklahoma

Profile Details

NPI number 1952681645
LBN Legal business name Hammons, Justin
Credentials M.S., LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2011
Last updated Feb 1st, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952681645 NPPES
Oklahoma MEDICAID 1659685402

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