JIMMIE CHARLES CHASE

BARTLESVILLE, OK
NPI1003025297
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK  166)
Enumeration Date2007-05-22
Last Update Date2007-07-08
Business Address
-- JIMMIE CHARLES CHASE BS,CADC
622 SE FRANK PHILLIPS BLVD
BARTLESVILLE, OK 74003-3917
Phone number: 918-336-4646
Mailing Address
-- JIMMIE CHARLES CHASE BS,CADC
205 S SANTA FE ELGIN
SEDAN, KS 67361-8526
Phone number: 620-346-2356
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