Brian Alan Mixon

NPI #1013428903 in Atoka, Oklahoma

Provider Information

NPI Number: 1013428903
Entity Type: Individual
Name: Brian Alan Mixon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Oct 18, 2017
Last Updated: Oct 18, 2017

Practice Location

Address: 2874 S OAK TREE LN
City: Atoka
State: Oklahoma
ZIP Code: 74525-5434
Phone: (580) 239-1735

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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