Doctor Name: | PAUL LEE PLUMMER |
NPI Number: | 1013236058 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA |
License Number: | |
Business Practice Address: | 105 Mozell St Poteau, OK - 749532412 |
Business Phone Number: | 9188397576 |
Business Fax Number: | |
Mailing Address: | 105 Mozell St, POTEAU |
State: | OK |
Postal Code: | 749532412 |
Phone Number: | 9188397576 |
Fax Number: | |
NPI Enumeration Date: | 05/28/2010 |
NPI Last Update Date: | 05/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |