Individual
BRENDA KAY PRIESTLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104544 S 4140 RD, COUNCIL HILL, OK 74428-2305
(719) 569-9058
Mailing address
104544 S 4140 RD, COUNCIL HILL, OK 74428-2305
(719) 569-9058
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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