Individual
BRADLEY R FISK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDC/AADC
Contact information
Practice address
500 BROAD ST # A, WICHITA FALLS, TX 76301-3109
(940) 397-3379
Mailing address
500 BROAD ST # A, WICHITA FALLS, TX 76301-3109
(940) 397-3379
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6668
TX
Other
Enumeration date
10/31/2025
Last updated
10/31/2025
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