Brogdon, Brad T

Brogdon, Brad T is an individual health care provider with primary practice located at 610 E 24Th St , Tishomingo OK 73460-3245. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Brogdon, Brad T can be contacted via phone (580) 371-2343.

Contact Information

Primary practice address
610 E 24Th St Tishomingo OK 73460-3245
Phone: (580) 371-2343
Fax: (580) 371-3614
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1174862320
LBN Legal business name Brogdon, Brad T
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2013
Last updated Aug 7th, 2019 - about 5 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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