Individual
MR. BERTHEOPHILUS MAURICE BAILEY SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MHR, BHRS
Contact information
Practice address
3426 S 148TH EAST PL, TULSA, OK 74134-4806
(918) 282-9385
Mailing address
3426 S 148TH EAST PL, TULSA, OK 74134-4806
(918) 282-9385
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
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