Doctor Name: | MS. JONELL JAMES |
NPI Number: | 1265763239 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 4146 |
Business Practice Address: | 100 W 7th St Okmulgee, OK - 744475007 |
Business Phone Number: | 9187581910 |
Business Fax Number: | 9187561270 |
Mailing Address: | 100 W 7th St, OKMULGEE |
State: | OK |
Postal Code: | 744475007 |
Phone Number: | 9187581910 |
Fax Number: | 9187561270 |
NPI Enumeration Date: | 01/14/2010 |
NPI Last Update Date: | 05/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 4146 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |