Individual provider · Type 1 NPI

Jimmy L. Widdifield Jr., M.A., LPC

Mental Health Counselor · Oklahoma City, OK

NPI number 1710157136 Active

Practice location

940 NE 13th St, 4N 4900
Oklahoma City, OK 73104-5008

Call (405) 271-8858 Map

Fax (405) 271-2931

Mailing address

4645 W Nicklas Ave, Apt. B
Oklahoma City, OK 73132-6933

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1710157136

Jimmy L. Widdifield Jr., M.A., LPC's National Provider Identifier is 1710157136, issued on Mar 3, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oklahoma City, OK. The record was last updated on Oct 26, 2011.