Individual
JAMES C WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 SE 11TH ST, WAGONER, OK 74467-7513
(918) 485-5404
(918) 485-8541
Mailing address
PO BOX 558, TAHLEQUAH, OK 74465-0558
(918) 485-8404
(918) 485-8541
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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