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Mr. Bradley Ray Bolin, BS
Mental Health Counselor in Broken Arrow, Oklahoma
NPI 1104127141

Bradley Ray Bolin is a Mental Health Counselor based in Broken Arrow, OK and is specialized in Mental Health. Bradley Ray Bolin practices in Broken Arrow, OK and has the professional credentials of BS. The NPI Number for Bradley Ray Bolin is 1104127141 and holds a License No. (Oklahoma).

The current practice location address for Bradley Ray Bolin is 3100 S Elm Pl Ste B, Broken Arrow, OK and can be reached out via phone at 918-286-2535 and via fax at 918-286-7693.

Location: 3100 S Elm Pl Ste B, Broken Arrow, OK, 74012-7950
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104127141
Provider Name
Bradley Ray Bolin
Credential
BS
Provider Entity Type
Individual
Gender
Male
Address
3100 S Elm Pl Ste B, Broken Arrow, OK, 74012-7950
Phone Number
918-286-2535
Fax Number
918-286-7693
Provider Enumeration Date
11/08/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3100 S Elm Pl Ste B
City
Broken Arrow
State
Oklahoma
Zip
74012-7950
Phone Number
918-286-2535
Fax Number
918-286-7693
person
Provider Business Mailing Address Details
Address
3100 S Elm Pl Ste B
City
Broken Arrow
State
Oklahoma
Zip
74012-7950
Phone Number
918-286-2535
Fax Number
918-286-7693
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(Oklahoma)
Definition
Definition to come...
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