Individual provider · Type 1 NPI
Brenda J. Tyson Sullivan
Mental Health Counselor · Oklahoma City, OK
NPI number
1255673398
Active
Practice location
11816 Gwendolyn Ln
Oklahoma City, OK 73131-4402
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1255673398
Brenda J. Tyson Sullivan's National Provider Identifier is 1255673398, issued on Mar 26, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oklahoma City, OK. The record was last updated on Mar 26, 2013.