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Individual

JIMMIE CHARLES CHASE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BS,CADC

Contact information

Practice address
622 SE FRANK PHILLIPS BLVD, BARTLESVILLE, OK 74003-3917
(918) 336-4646
(918) 336-8710
Mailing address
205 S SANTA FE ELGIN, SEDAN, KS 67361-8526
(620) 346-2356

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
166
OK

Other

Enumeration date
05/22/2007
Last updated
07/08/2007
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