Individual
JAMIE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12005 E 470 RD, CLAREMORE, OK 74017-3737
(918) 342-0770
Mailing address
PO BOX 760, OKMULGEE, OK 74447-0760
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
03/13/2012
Last updated
05/02/2013
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