Individual provider · Type 1 NPI
Brandon Alan Lilly, M.A.
Mental Health Counselor · Owasso, OK
NPI number
1417212697
Active
Practice location
13008 E 90th St N
Owasso, OK 74055-4752
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 1417212697
Brandon Alan Lilly, M.A.'s National Provider Identifier is 1417212697, issued on Jul 12, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Owasso, OK. The record was last updated on Jul 12, 2012.