Individual provider · Type 1 NPI

Thomas Bradley Porton, BHRS

Mental Health Counselor · Idabel, OK

NPI number 1609107515 Active

Practice location

4 SE Ave A
Idabel, OK 74745-4620

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1609107515

Thomas Bradley Porton, BHRS's National Provider Identifier is 1609107515, issued on Jan 18, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Idabel, OK. The record was last updated on Jan 18, 2010.