Individual
BRIANNA CANDIDA MINJARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCP, LADC-MH
Contact information
Practice address
1624 CIMARRON PLZ, STILLWATER, OK 74075-3467
(918) 510-1205
Mailing address
1624 CIMARRON PLZ, STILLWATER, OK 74075-3467
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1420
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/29/2021
Last updated
06/27/2022
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