Marlon T James
Individual provider Active NPI Mental Health Counselor · Spencer, OK
NPI 1508201765 · NPPES record last updated May 1, 2013
Key facts
- NPI
- 1508201765
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 3711 Red Bud Dr
Spencer, OK 73084 - Phone
- (918) 938-1500
- NPI assigned
- May 1, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
3711 Red Bud Dr
Spencer, OK 73084
Mailing address
3711 Redbud Dr
Spencer, OK 73084-2111
Phone (918) 938-1500
Other providers in Spencer, OK
- Pallu Ad'Ino Israel
- Comelia Jackson
- Krishaun Jackson
- Naomi Marie Jackson
- Linda Jacobs
- Connie Jo Johnson
- B. T. Jones Jr.
- Ralphena Jones
- Wendy Jones
- Savannah Kaye Kappelle
All providers in Spencer, OK · Mental Health Counselor in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.