Individual
MR. CHAD IRVIN YORK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
33200 S 625 RD, JAY, OK 74346-5398
(918) 418-9185
Mailing address
PO BOX 129, BIG CABIN, OK 74332-0129
(918) 418-9185
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/15/2015
Last updated
05/15/2015
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