Individual
MR. CHADLEY BLAINE SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED., LPC
Contact information
Practice address
4220 RIMRIDGE RD, EDMOND, OK 73025-2906
(405) 826-2952
Mailing address
4220 RIMRIDGE RD, EDMOND, OK 73025-2906
(405) 826-2952
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1899
OK
Other
Enumeration date
10/04/2013
Last updated
10/04/2013
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