Individual provider · Type 1 NPI

Bradley Ray Bolin, BS

Counselor · Broken Arrow, OK

NPI number 1104127141 Active

Practice location

3100 S Elm Pl Ste B
Broken Arrow, OK 74012-7950

Call (918) 286-2535 Map

Fax (918) 286-7693

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed
Mental Health Counselor 101YM0800XNone 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 1104127141

Bradley Ray Bolin, BS's National Provider Identifier is 1104127141, issued on Nov 8, 2010. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Broken Arrow, OK. The record was last updated on Nov 8, 2010.