Individual
DEVAN T. BROTHERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. L.P.C.
Contact information
Practice address
1011 HONOR HEIGHTS DR, BEHAVIORAL MEDICINE 116, MUSKOGEE, OK 74401-1318
(918) 577-3655
(918) 577-3701
Mailing address
1011 HONOR HEIGHTS DR, BEHAVIORAL MEDICINE 116, MUSKOGEE, OK 74401-1318
(918) 577-3655
(918) 577-3701
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2166
OK
Other
Enumeration date
04/02/2008
Last updated
10/20/2008
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