Individual
MR. JAMES WESLEY CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
2203 N ASH ST, PONCA CITY, OK 74601-1108
(580) 762-8341
(580) 762-9967
Mailing address
205 VIRGINIA AVE, PONCA CITY, OK 74601-1108
(580) 761-2269
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1150
OK
Other
Enumeration date
07/08/2010
Last updated
07/08/2010
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