Individual provider · Type 1 NPI

Lacey Dansby Bradley

Mental Health Counselor · Oklahoma City, OK

NPI number 1639618473 Active

Practice location

4300 N Lincoln Blvd
Oklahoma City, OK 73105-5107

Call (405) 425-0364 Map

Mailing address

13808 NE 10th St
Choctaw, OK 73020-8117

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1639618473

Lacey Dansby Bradley's National Provider Identifier is 1639618473, issued on Feb 13, 2017. 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 Feb 13, 2017.