Individual
MICHAEL WAYNE PLUMLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
530 N KIMBERLY AVE APT 5, SHAWNEE, OK 74801-6695
(406) 887-1425
Mailing address
530 N KIMBERLY AVE APT 5, SHAWNEE, OK 74801-6695
(405) 887-1425
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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