Organization
KENNY JAMES, M.S., L.P.C., P.C., LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMIE KENNETH JAMES LPC (OWNER)
(580) 304-9991
Entity
Organization
Contact information
Practice address
118 N OAK ST, PONCA CITY, OK 74601-4238
(580) 304-9991
(580) 762-1066
Mailing address
118 N OAK ST, PONCA CITY, OK 74601-4238
(580) 304-9991
(580) 762-1066
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1018
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200231600A
—
OK
Enumeration date
01/25/2013
Last updated
01/28/2013
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