Individual
JAMESHIA JOIVEL BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3621 N KELLEY AVE, OKLAHOMA CITY, OK 73111-4520
(405) 524-5525
Mailing address
310 NIMROD RD, EDMOND, OK 73003-3138
(405) 838-8931
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
731424979
OK
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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