Individual provider · Type 1 NPI

Katie Janelle Brister

Mental Health Counselor · Tishomingo, OK

NPI number 1598044828 Active

Practice location

504 E 24th St
Tishomingo, OK 73460-3214

Call (903) 815-0843 Map

Mailing address

504 East 24th Street
Tishomingo, OK 73460-3214

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1598044828

Katie Janelle Brister's National Provider Identifier is 1598044828, issued on Aug 4, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tishomingo, OK. The record was last updated on Aug 4, 2011.