Individual
MR. JAMES S. COLBERT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19076 E. 801 RD. #5, PARK HILL, OK 74451
(918) 458-5085
(918) 458-5085
Mailing address
1101 S MUSKOGEE AVE, #1883, TAHLEQUAH, OK 74465-2890
(918) 458-5085
(918) 458-5085
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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