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Individual

BRANDI KAYE ENEKWEIZU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PLC8346

Contact information

Practice address
222 W 8TH ST, TULSA, OK 74119-1404
(918) 832-7763
(918) 292-8250
Mailing address
222 W 8TH ST, TULSA, OK 74119-1404
(918) 832-7763
(918) 292-8250

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
OK
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8346
LA
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YP2500X
Professional Counselor
8346
LA
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
12/04/2019
Last updated
10/13/2023
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