MR. Jimmy Todd Self, LPC

NPI #1528171022 in Wagoner, Oklahoma

Provider Information

NPI Number
1528171022
Entity Type
Individual
Name
MR. Jimmy Todd Self, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
LPC
Enumeration Date
Aug 17, 2006
Last Updated
Mar 30, 2009

Practice Location

Address
32270 E 722 DR
ZIP Code
74467-7411
Phone
(918) 485-9277

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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