Individual provider · Type 1 NPI

Jimmy Rowdy Simon

Addiction (Substance Use Disorder) Counselor · Oklahoma City, OK

NPI number 1215753595 Active

Practice location

2701 NW 39th Expy
Oklahoma City, OK 73112-3775

Mailing address

2420 N Classen Blvd
Oklahoma City, OK 73106

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1376761585 (OK)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1215753595

Jimmy Rowdy Simon's National Provider Identifier is 1215753595, issued on Dec 2, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Oklahoma City, OK. The record was last updated on Dec 2, 2024.