Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Edward Clyde Skidmore Jr., RSS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1992081137

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 St
Ardmore, OK 73401-1732
Phone: (580) 319-8402
Show map & directions

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 number1992081137
Entity typeIndividual (Type 1)
GenderMale
Credentials RSS
Sole proprietorYes
NPI enumeratedNovember 2, 2011
Last updated in NPPESNovember 2, 2011

Other providers in Ardmore