Individual
MRS. BRANDI N RIDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3621 N. KELLEY AVE STE. 100, OKLAHOMA CITY, OK 73111
(405) 524-5525
Mailing address
6305 SUNNYBRIDGE COURT, OKLAHOMA CITY, OK 73132
(405) 532-3991
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578690137
STATE LICENSE INFORMATION
OK
Enumeration date
03/08/2017
Last updated
03/08/2017
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