Bradley, Dejrah Monique

Bradley, Dejrah Monique is an individual health care provider with primary practice located at 6333 E Skelly Dr , Tulsa OK 74135-6106. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Bradley, Dejrah Monique can be contacted via phone (918) 664-4224.

Contact Information

Primary practice address
6333 E Skelly Dr Tulsa OK 74135-6106
Phone: (918) 664-4224
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X

Profile Details

NPI number 1598350795
LBN Legal business name Bradley, Dejrah Monique
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2021
Last updated Mar 9th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598350795 NPPES
Oklahoma MEDICAID 1588706048

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