MR. Bradley Ray Bolin, BS
NPI #1104127141 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1104127141
- Entity Type
- Individual
- Name
- MR. Bradley Ray Bolin, BS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor
- Credential
- BS
- Enumeration Date
- Nov 8, 2010
- Last Updated
- Nov 8, 2010
Practice Location
- Address
- 3100 S ELM PL STE B
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-7950
- Phone
- (918) 286-2535
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Counselor - Mental Health — Mental Health |
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