Individual
BRADLEY DEAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 N HIGH ST, ANTLERS, OK 74523-2238
(580) 271-7055
(580) 271-7056
Mailing address
3334 OLD HIGHWAY RD, SAWYER, OK 74756-5800
(580) 743-0069
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/06/2021
Last updated
01/18/2021
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