Individual
BRADLEY J HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
ADDRESS 1303 SE LYNN LANE, IDABEL, OK 74745-3626
(580) 286-7025
Mailing address
500 MOCKINGBIRD LN, IDABEL, OK 74745-3626
(580) 208-0233
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10484
OK
101YM0800X
Mental Health Counselor
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
01/22/2021
Last updated
01/17/2022
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