Individual
JAMES WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1115 HARBOR RD, GROVE, OK 74344-3505
(918) 786-4434
(918) 786-4435
Mailing address
1115 HARBOR RD, GROVE, OK 74344-3505
(918) 786-4434
(918) 786-4435
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/22/2014
Last updated
05/16/2016
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