Individual
CARLTON JAMES RICHARD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11308 CEDAR VALLEY DR, OKLAHOMA CITY, OK 73170-5668
(713) 386-9023
Mailing address
11308 CEDAR VALLEY DR, OKLAHOMA CITY, OK 73170-5668
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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