Individual
MR. JAMES KEITH SCHARDEIN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
205 S ADAIR ST, PRYOR, OK 74361-5201
(918) 825-4872
(918) 825-4873
Mailing address
205 S ADAIR ST, PRYOR, OK 74361-5201
(918) 825-4872
(918) 825-4873
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
104
OK
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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