Individual
MR. JAMES ANDREW MASSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
RR 6 BOX 5, STILWELL, OK 74960-9501
(918) 797-7786
Mailing address
1302 N 3RD ST, STILWELL, OK 74960-1820
(918) 797-7998
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5963
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200362750A
—
OK
Enumeration date
05/17/2011
Last updated
02/25/2016
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