JIMMY SELF, LPC

LPC

Mental Health Counselor

NPI: 1528171022Individual

Specialties, Licenses & Credentials

Mental Health CounselorPrimary

Counselor — Mental Health

Code: 101YM0800X

3651(OK)

Contact & Hours

Address: 32270 E 722 DR
WAGONER, OK 74467
Phone: (918) 485-9277

Quick Facts

NPI: 1528171022
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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