| Mr Jimmy Todd Self, LPC | |
|
32270 E 722 Dr, Wagoner, OK 74467-7411 | |
| (918) 485-9277 | |
| Not Available |
| Full Name | Mr Jimmy Todd Self |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 32270 E 722 Dr, Wagoner, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528171022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 3651 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jimmy Todd Self, LPC 32270 E 722 Dr, Wagoner, OK 74467-7411 Ph: (918) 485-9277 | Mr Jimmy Todd Self, LPC 32270 E 722 Dr, Wagoner, OK 74467-7411 Ph: (918) 485-9277 |
James C Washington, Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Se 11th St, Wagoner, OK 74467 Phone: 918-485-5404 Fax: 918-485-8541 | |
Carleen Noe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Se 11th St, Wagoner, OK 74467 Phone: 918-485-8404 Fax: 918-485-8541 | |
Kamilah Scroggins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 68512 S 310 Rd, Wagoner, OK 74467 Phone: 661-972-8815 | |
Debra Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Se 11th St, Wagoner, OK 74467 Phone: 918-485-8404 Fax: 918-485-8541 | |
Tracy Lea Martin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 S Harrill, Eri, Wagoner, OK 74467 Phone: 918-485-3554 Fax: 918-485-8371 | |
Angelina C Hayes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2109 S Highway 69, Wagoner, OK 74467 Phone: 918-485-0242 Fax: 918-485-0204 | |
Madison M Medlock, Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 S Harrill Ave, Wagoner, OK 74467 Phone: 918-485-0242 Fax: 918-485-0242 |