Provider Demographics
NPI:1003074287
Name:HILDRETH, DAREN (MAMFT)
Entity Type:Individual
Prefix:MR
First Name:DAREN
Middle Name:
Last Name:HILDRETH
Suffix:
Gender:M
Credentials:MAMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2018 E 31ST PL N
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74110-1144
Mailing Address - Country:US
Mailing Address - Phone:918-794-8106
Mailing Address - Fax:
Practice Address - Street 1:2018 E 31ST PL N
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74110-1144
Practice Address - Country:US
Practice Address - Phone:918-794-8106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-25
Last Update Date:2008-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist