Individual
JAMES MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2036 CLOVERDALE LN, NORMAN, OK 73071-1128
(405) 473-0964
Mailing address
2036 CLOVERDALE LN, NORMAN, OK 73071-1128
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200123000A
—
OK
Enumeration date
03/01/2010
Last updated
03/01/2010
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