Individual provider · Type 1 NPI

Jonathan Brodrick

Mental Health Counselor · Vinita, OK

NPI number 1124261888 Active

Practice location

405 E Excelsior Ave
Vinita, OK 74301-4226

Call (918) 256-6476 Map

Fax (918) 256-3628

Mailing address

1109 6th NW
Miami, OK 74354

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1124261888

Jonathan Brodrick's National Provider Identifier is 1124261888, issued on Apr 10, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vinita, OK. The record was last updated on Sep 7, 2011.