Individual provider · Type 1 NPI

Ellen Kimble Bradley

Counselor · Oklahoma City, OK

NPI number 1629475207 Active

Practice location

14200 N May Ave, Apt. 2123
Oklahoma City, OK 73134-5033

Call (405) 693-6888 Map

Mailing address

14200 N. May Ave., Apt. 2123
Oklahoma, OK 73134

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1629475207

Ellen Kimble Bradley's National Provider Identifier is 1629475207, issued on Nov 26, 2014. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Oklahoma City, OK. The record was last updated on Nov 26, 2014.