Individual
MR. JIMMY EARLY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.A
Contact information
Practice address
4801 NW CLASSEN, SUITE #233, OKLAHOMA CITY, OK 73118
(405) 242-5031
Mailing address
4201 W MEMORIAL RD APT 5204, OKLAHOMA CITY, OK 73134-1765
(405) 412-0420
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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