Individual
AMBER LYNN BRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 W DELAWARE AVE, NOWATA, OK 74048-2616
(918) 273-7344
(918) 999-0111
Mailing address
111 W DELAWARE AVE, NOWATA, OK 74048-2616
(918) 273-7344
(918) 999-0111
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
Other
Enumeration date
06/08/2017
Last updated
03/11/2019
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