Individual provider · Type 1 NPI

Brannon Crain

Mental Health Counselor · Tahlequah, OK

NPI number 1801122155 Active

Practice location

1400 Hensley Dr
Tahlequah, OK 74464-5264

Call (918) 207-3000 Map

Fax (918) 207-3064

Mailing address

PO Box 558
Tahlequah, OK 74465-0558

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1801122155

Brannon Crain's National Provider Identifier is 1801122155, issued on Oct 21, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tahlequah, OK. The record was last updated on Oct 21, 2009.