Individual
MR. BRET L. ELLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED.
Contact information
Practice address
1 W 10TH ST, SHAWNEE, OK 74801-6801
(405) 275-2222
(405) 275-7740
Mailing address
1 W 10TH ST, SHAWNEE, OK 74801-6801
(405) 275-2222
(405) 275-7740
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC 1300
OK
Other
Enumeration date
08/05/2006
Last updated
02/13/2014
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