Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JIMMY TODD SELF, LPC
Active Sole ProprietorMR. JIMMY TODD SELF, LPC is a Mental Health Counselor healthcare provider located in WAGONER, Oklahoma. NPI 1528171022 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · WAGONER, OK
Registration Details
- NPI Number
- 1528171022
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 17, 2006 (19.961644892748 yrs)
- Last Updated
- Mar 30, 2009
- License
-
3651 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
32270 E 722 DRWAGONER, OK, 744677411Browse OK providers · Browse ZIP 74467
- Phone
- 9184859277
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in WAGONER, OK
| Name | Credential | NPI |
|---|---|---|
| NORMA C COBB | C.A.D.C. | 1376664136 |
| CARLEEN NOE | — | 1013113273 |
| DEBRA WILLIAMS | — | 1053517227 |
| RAINA TOWE | — | 1386815157 |
| JOLIE DELMON | — | 1144471368 |
| TAMRA MOSHER-BACON | MS, BHRS, BHCM | 1871738757 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.