Mr. Edward Clyde Skidmore Jr., RSS
Mr. Edward Clyde Skidmore Jr., RSS is an Addiction (Substance Use Disorder) Counselor in Ardmore, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2011.
- In the registry since
- 2011
- Specialties on file
- 3
Practice location Address checks out
417 Cottonwood StArdmore, OK 73401-1732
Phone: (580) 319-8402
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
| Pastoral Counselor | Taxonomy 101YP1600X |
Record details
| NPI number | 1992081137 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | RSS |
| Sole proprietor | Yes |
| NPI enumerated | November 2, 2011 |
| Last updated in NPPES | November 2, 2011 |
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