Provider Demographics
NPI:1386689024
Name:HACKNEY-ADKERSON, ANITA JO (MCP, LPC)
Entity Type:Individual
Prefix:MS
First Name:ANITA
Middle Name:JO
Last Name:HACKNEY-ADKERSON
Suffix:
Gender:F
Credentials:MCP, LPC
Other - Prefix:MS
Other - First Name:ANITA
Other - Middle Name:JO
Other - Last Name:HACKNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MCP, LPC
Mailing Address - Street 1:1801 COLLEEN DR
Mailing Address - Street 2:
Mailing Address - City:GUTHRIE
Mailing Address - State:OK
Mailing Address - Zip Code:73044-6060
Mailing Address - Country:US
Mailing Address - Phone:405-282-4627
Mailing Address - Fax:
Practice Address - Street 1:1025 STRAKA TER
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73139-2544
Practice Address - Country:US
Practice Address - Phone:405-632-6688
Practice Address - Fax:405-604-0923
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional