Individual provider · Type 1 NPI

Rickey D. Bruner Jr.

Counselor · Tulsa, OK

NPI number 1073869913 Active

Practice location

11428 E 20th St
Tulsa, OK 74128-6451

Mailing address

2712 N Denver Ave
Tulsa, OK 74106-2222

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1073869913

Rickey D. Bruner Jr.'s National Provider Identifier is 1073869913, issued on Jul 30, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Tulsa, OK. The record was last updated on May 7, 2014.