Individual
WANDA YVONNE JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSP
Contact information
Practice address
8513 CANDLEWOOD DR APT 168, OKLAHOMA CITY, OK 73132-4422
(405) 722-8951
Mailing address
8513 CANDLEWOOD DR APT 168, OKLAHOMA CITY, OK 73132-4422
(405) 722-8951
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
02/04/2010
Last updated
02/04/2010
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