Most Relevant Information
Provider Data
| NPI Number: | 1003025297 |
| Provider Name: | JIMMIE CHARLES CHASE BS,CADC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 166 |
Most Important Dates
| Enumeration Date: | 05/22/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
622 SE FRANK PHILLIPS BLVD
BARTLESVILLE
OK
740033917
Practice Location Phone/Fax
| Phone: | 9183364646 |
| Fax: | 9183368710 |
Provider Mailing Location
205 S SANTA FE ELGIN
SEDAN
KS
673618526
Provider Mailing Phone/Fax
| Phone: | 6203462356 |
| Fax: |