Individual
JAMAL GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1737 LINWOOD BLVD, OKLAHOMA CITY, OK 73106-5037
(405) 239-6815
Mailing address
15725 CAPULET DR, EDMOND, OK 73013-5059
(214) 901-1487
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U084065323
PRIVATE PAY
OK
Enumeration date
11/25/2020
Last updated
11/25/2020
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