Individual
BRANDI TABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 S PEORIA AVE, TULSA, OK 74120-4429
(918) 587-9471
Mailing address
810 COUNTRY CLUB BLVD, CANADIAN, OK 74425-5043
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6601
OK
Other
Enumeration date
08/23/2013
Last updated
01/29/2023
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