person
Mr. Edward Clyde Skidmore JR., RSS
Pastoral Counselor in Ardmore, Oklahoma
NPI 1992081137

Edward Clyde Skidmore JR. is a Pastoral Counselor based in Ardmore, OK and is specialized in Pastoral. Edward Clyde Skidmore JR. practices in Ardmore, OK and has the professional credentials of RSS. The NPI Number for Edward Clyde Skidmore JR. is 1992081137 and holds a License No. (Oklahoma).

The current practice location address for Edward Clyde Skidmore JR. is 417 Cottonwood St, Ardmore, OK and can be reached out via phone at 580-319-8402.

Location: 417 Cottonwood St, Ardmore, OK, 73402-1327
person
Provider Profile Details
NPI Number
1992081137
Provider Name
Edward Clyde Skidmore JR.
Credential
RSS
Provider Entity Type
Individual
Gender
Male
Address
417 Cottonwood St, Ardmore, OK, 73402-1327
Phone Number
580-319-8402
Fax Number
Provider Enumeration Date
11/02/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
417 Cottonwood St
City
State
Zip
73401-1732
Phone Number
580-319-8402
Fax Number
person
Provider Business Mailing Address Details
Address
417 Cottonwood St
City
State
Zip
73401-1732
Phone Number
580-319-8402
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
License No.
()
Definition
Definition to come...
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