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Individual

ANTHONY JAMES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2237 NW 117TH ST, OKLAHOMA CITY, OK 73120-7804
(832) 340-4357
Mailing address
2237 NW 117TH ST, OKLAHOMA CITY, OK 73120-7804

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
19891599
TX
Enumeration date
09/12/2011
Last updated
09/12/2011
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