Individual provider · Type 1 NPI
Brenda S. Bause, LPC
Mental Health Counselor · Ardmore, OK
NPI number
1083632004
Active
Practice location
27B South West, Suite 100 & 200
Ardmore, OK 73401
Fax (918) 388-6456
Mailing address
PO Box 722
Ada, OK 74821-0722
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 2337 (OK) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1083632004
Brenda S. Bause, LPC's National Provider Identifier is 1083632004, issued on Jul 17, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ardmore, OK. The record was last updated on Jul 8, 2007.