Individual
ASHLEY JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 E 12TH ST, ADA, OK 74820-6501
(580) 436-2690
Mailing address
111 E 12TH ST, ADA, OK 74820-6501
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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