Individual
BRENDA R EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BHRS
Contact information
Practice address
30611 W COUNTY ROAD 1230, STIGLER, OK 74462-1762
(918) 441-5764
Mailing address
30611 W COUNTY ROAD 1230, STIGLER, OK 74462-1762
(918) 441-5764
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200049040
—
OK
Enumeration date
09/29/2011
Last updated
10/06/2011
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