Individual
MR. JOHN CLARENCE BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
8801 NW 121ST ST, OKLAHOMA CITY, OK 73162-1143
(405) 812-1514
(405) 601-6711
Mailing address
8801 NW 121ST ST, OKLAHOMA CITY, OK 73162-1143
(405) 812-1514
(405) 601-6711
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2619
OK
Other
Enumeration date
11/04/2009
Last updated
11/04/2009
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