person
Shelley Bridgeman, BA
Mental Health Counselor in Tishomingo, Oklahoma
NPI 1417289414

Shelley Bridgeman is a Mental Health Counselor based in Tishomingo, OK and is specialized in Mental Health. Shelley Bridgeman practices in Tishomingo, OK and has the professional credentials of BA. The NPI Number for Shelley Bridgeman is 1417289414 and holds a License No. (Oklahoma).

The current practice location address for Shelley Bridgeman is 504 E 24Th St, Tishomingo, OK and can be reached out via phone at 580-371-9933 and via fax at 580-371-9944.

Location: 504 E 24Th St, Tishomingo, OK, 73460-3214
person
Provider Profile Details
NPI Number
1417289414
Provider Name
Shelley Bridgeman
Credential
BA
Provider Entity Type
Individual
Gender
Female
Address
504 E 24Th St, Tishomingo, OK, 73460-3214
Phone Number
580-371-9933
Fax Number
580-371-9944
Provider Enumeration Date
02/02/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100746580E 05 OK
institution
Provider Business Practice Location Address Details
Address
504 E 24Th St
City
State
Zip
73460-3214
Phone Number
580-371-9933
Fax Number
580-371-9944
person
Provider Business Mailing Address Details
Address
504 E 24Th St
City
State
Zip
73460-3214
Phone Number
580-371-9933
Fax Number
580-371-9944
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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