Individual
BRANDON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1815 W 58TH ST, TULSA, OK 74107-8429
(918) 409-1349
Mailing address
1815 W 58TH ST, TULSA, OK 74107-8429
(918) 409-1349
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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