Individual
BRAD T BROGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2007 N COMMERCE ST, ARDMORE, OK 73401-1268
(580) 223-5636
Mailing address
2706 E HARBERT RD, TISHOMINGO, OK 73460-4035
(580) 310-8105
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6840
OK
Other
Enumeration date
02/07/2013
Last updated
12/20/2024
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