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Individual

MR. MICHAEL JAMES YORK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LADC/MH

Contact information

Practice address
1101 E MONROE AVE, MCALESTER, OK 74501-4815
(918) 429-5044
Mailing address
1101 E MONROE AVE, MCALESTER, OK 74501-4815
(918) 429-5044

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1093
OK
101YA0400X
Addiction (Substance Use Disorder) Counselor
171M00000X
Case Manager/Care Coordinator

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200519870A
OK
Enumeration date
01/25/2010
Last updated
01/18/2024
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