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Jonathan Brodrick
Mental Health Counselor in Vinita, Oklahoma
NPI 1124261888

Jonathan Brodrick is a Mental Health Counselor based in Miami, OK and is specialized in Mental Health. Jonathan Brodrick practices in Vinita, OK. The NPI Number for Jonathan Brodrick is 1124261888 and holds a License No. (Oklahoma).

The current practice location address for Jonathan Brodrick is 405 E Excelsior Ave, Vinita, OK and can be reached out via phone at 918-256-6476 and via fax at 918-256-3628. You can also correspond with Jonathan Brodrick through the mailing address at 1109 6TH NW, MIAMI, OK - 74354 (mailing address contact number: 918-533-8770).

Location: 405 E Excelsior Ave, Vinita, OK, 74354
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124261888
Provider Name
Jonathan Brodrick
Credential
Provider Entity Type
Individual
Gender
Male
Address
405 E Excelsior Ave, Vinita, OK, 74354
Phone Number
918-256-6476
Fax Number
918-256-3628
Provider Enumeration Date
04/10/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
405 E Excelsior Ave
City
Vinita
State
Oklahoma
Zip
74301-4226
Phone Number
918-256-6476
Fax Number
918-256-3628
person
Provider Business Mailing Address Details
Address
405 E Excelsior Ave
City
Vinita
State
Oklahoma
Zip
74301-4226
Phone Number
918-256-6476
Fax Number
918-256-3628
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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