Jonathan Brodrick
Jonathan Brodrick is a Mental Health Counselor in Vinita, Oklahoma. Registered with an NPI since 2009.
- In the registry since
- 2009
Practice location Address checks out
405 E Excelsior AveVinita, OK 74301-4226
Phone: (918) 256-6476
Fax: (918) 256-3628
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1124261888 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 10, 2009 |
| Last updated in NPPES | September 7, 2011 |
| Mailing address | 1109 6th Nw, Miami, OK 74354 |
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