James Ahern, M.ED., LPC

Individual provider Active NPI Professional Counselor · Purcell, OK

NPI 1831248376 · NPPES record last updated May 12, 2011

Key facts

NPI
1831248376
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
1008 (OK)
Practice address
112 W Main St
Purcell, OK 73080-4220
Phone
(405) 527-1785
Fax
(405) 527-1785
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
1008OKMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1008 OK Yes

Addresses

Primary practice location

112 W Main St
Purcell, OK 73080-4220

Mailing address

112 W Main St
Purcell, OK 73080-4220
Phone (405) 527-1785

Other providers in Purcell, OK

All providers in Purcell, OK · Professional Counselor in Oklahoma

Sources for this page

Verify at the official NPI Registry.