Search › Oklahoma › 101YM0800X
Jimmy Self, LPC
NPI 1528171022 · on the registry since 2006 · sole proprietor
Practice
- Address
- 32270 E 722 Dr
Wagoner, OK 74467 - Phone
- (918) 485-9277
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-03-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma