JAMES C WASHINGTON

WAGONER, OK
NPI1003090903
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-12-27
Last Update Date2007-12-27
Business Address
-- JAMES C WASHINGTON
301 SE 11TH ST
WAGONER, OK 74467-7513
Phone number: 918-485-5404
Mailing Address
-- JAMES C WASHINGTON
PO BOX 558
TAHLEQUAH, OK 74465-0558
Phone number: 918-485-8404
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