Individual
MR. JAMES KEITH CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
301 W I 240 SERVICE RD, OKLAHOMA CITY, OK 73139-7701
(405) 604-9644
(405) 604-9689
Mailing address
4801 S BROADWAY PL, OKLAHOMA CITY, OK 73109-7524
(405) 631-1872
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
300
OK
Other
Enumeration date
12/29/2009
Last updated
12/29/2009
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