Individual
JAMES POWELL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5131 N CLASSEN BLVD, OKLAHOMA CITY, OK 73118-5258
(405) 767-1126
Mailing address
4604 SE 19TH ST, DEL CITY, OK 73115-3128
(405) 819-3754
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021285
—
OK
Enumeration date
08/05/2011
Last updated
08/05/2011
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