Dylan Allen Hetherington, LPC-C

Individual provider Active NPI Mental Health Counselor · Thomas, OK

NPI 1427948751 · NPPES record last updated Jul 8, 2025

Key facts

NPI
1427948751
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
120 W Broadway Ave
Thomas, OK 73669
Phone
(580) 661-3488
NPI assigned
Jul 8, 2025
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X OK Yes

Addresses

Primary practice location

120 W Broadway Ave
Thomas, OK 73669

Mailing address

120 W Broadway Ave
Thomas, OK 73669
Phone (580) 661-3488

Other providers in Thomas, OK

All providers in Thomas, OK · Mental Health Counselor in Oklahoma

Sources for this page

Verify at the official NPI Registry.