Self, Jimmy Todd

Self, Jimmy Todd is an sole proprietor health care provider with primary practice located at 32270 E 722 Dr , Wagoner OK 74467-7411. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Self, Jimmy Todd can be contacted via phone (918) 485-9277.

Contact Information

Primary practice address
32270 E 722 Dr Wagoner OK 74467-7411
Phone: (918) 485-9277
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 3651 Oklahoma

Profile Details

NPI number 1528171022
LBN Legal business name Self, Jimmy Todd
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2006
Last updated Mar 30th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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