Organization
PATHS OF CHANGE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANON ELIZABETH BRADEN PHD LPC (PRESIDENT)
(918) 336-1234
Entity
Organization
Contact information
Practice address
102 1/2 SW FRANK PHILLIPS, ROOM 4, BARTLESVILLE, OK 74003-6606
(918) 336-1234
(918) 336-7604
Mailing address
102 1/2 SW FRANK PHILLIPS, ROOM 4, BARTLESVILLE, OK 74003
(918) 336-1234
(918) 336-7604
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
09/08/2006
Last updated
08/22/2020
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