Individual
MADISON BRIANNE BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27371 S 4410 RD, VINITA, OK 74301-7953
(918) 256-4800
Mailing address
12005 E 470 RD, CLAREMORE, OK 74017-3737
(918) 342-0770
(918) 342-0087
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCCANDIDATE11839
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/28/2020
Last updated
07/16/2024
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