| Kim James, Lpc | |
|
2411 W Pine Pl Tulsa OK 74127-2209 | |
| (918) 855-7754 | |
| (918) 592-7717 |
| Full Name | Kim James, Lpc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2411 W Pine Pl, Tulsa, Oklahoma |
| Authorized Official Name and Position | Kim Denise James (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 9188557754 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kim James, Lpc 2411 W Pine Pl Tulsa OK 74127-2209 Ph: (918) 855-7754 | Kim James, Lpc 2411 W Pine Pl Tulsa OK 74127-2209 Ph: (918) 855-7754 |
| NPI Number | 1912219692 |
|---|---|
| Provider Enumeration Date | 07/09/2010 |
| Last Update Date | 07/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912219692 | NPI | - | NPPES |
| 100656220 D | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2962 (Oklahoma) | Primary |
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