Provider Demographics
NPI:1851525166
Name:HELM, JIM (CADC UNDER SUPERVISI)
Entity Type:Individual
Prefix:
First Name:JIM
Middle Name:
Last Name:HELM
Suffix:
Gender:M
Credentials:CADC UNDER SUPERVISI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-1306
Mailing Address - Country:US
Mailing Address - Phone:405-364-9400
Mailing Address - Fax:405-364-9407
Practice Address - Street 1:309 E MAIN ST
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-1306
Practice Address - Country:US
Practice Address - Phone:405-364-9400
Practice Address - Fax:405-364-9407
Is Sole Proprietor?:No
Enumeration Date:2009-05-14
Last Update Date:2009-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)