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Jim Lee Couch
Mental Health Counselor in Kingfisher, Oklahoma
NPI 1033606702

Jim Lee Couch is a Mental Health Counselor based in Moore, OK and is specialized in Mental Health. Jim Lee Couch practices in Kingfisher, OK. The NPI Number for Jim Lee Couch is 1033606702 and holds a License No. (Oklahoma).

The current practice location address for Jim Lee Couch is 107 N Main St, Kingfisher, OK and can be reached out via phone at 405-872-6824.

Location: 107 N Main St, Kingfisher, OK, 73160-9153
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033606702
Provider Name
Jim Lee Couch
Credential
Provider Entity Type
Individual
Gender
Male
Address
107 N Main St, Kingfisher, OK, 73160-9153
Phone Number
405-872-6824
Fax Number
Provider Enumeration Date
04/18/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
107 N Main St
City
Kingfisher
State
Oklahoma
Zip
73750-2730
Phone Number
405-872-6824
Fax Number
person
Provider Business Mailing Address Details
Address
107 N Main St
City
Kingfisher
State
Oklahoma
Zip
73750-2730
Phone Number
405-872-6824
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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