Individual
JAMES S BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2701 NW 39TH EXPY, OKLAHOMA CITY, OK 73112-3775
(405) 371-1826
Mailing address
9900 W HIGHWAY 66 APT 1005, YUKON, OK 73099-0014
(405) 371-1826
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/12/2022
Last updated
08/18/2022
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