JIM LEE COUCH

KINGFISHER, OK
NPI1033606702
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-04-18
Last Update Date2018-04-18
Business Address
JIM LEE COUCH
107 N MAIN ST
KINGFISHER, OK 73750-2730
Phone number: 405-872-6824
Mailing Address
JIM LEE COUCH
2712 SE 94TH ST
MOORE, OK 73160-9153
Phone number: 405-412-9461