Individual
MR. BRAD ALLEN BANDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1515 NW 43RD ST, OKLAHOMA CITY, OK 73118-5023
(405) 812-5595
Mailing address
1515 NW 43RD ST, OKLAHOMA CITY, OK 73118-5023
(405) 812-5595
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/29/2013
Last updated
06/29/2013
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