Individual
WILLIE JAMES MAYS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
198 EAST ALMAR, CHICKASHA, OK 73023-0829
(405) 222-5437
(405) 222-5441
Mailing address
PO BOX 829, CHICKASHA, OK 73023-0829
(405) 222-5437
(405) 222-5441
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3WJM65
ICIS
OK
Enumeration date
04/24/2007
Last updated
09/11/2025
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