Individual
KRISTA MICHELLE BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
465998 E 810 RD, STILWELL, OK 74960-4441
(918) 797-7786
(918) 696-7503
Mailing address
465998 E 810 RD, STILWELL, OK 74960-4441
(918) 797-7786
(918) 696-7503
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2349
OK
Other
Enumeration date
11/21/2006
Last updated
08/06/2022
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