Jonathan Brodrick

NPI #1124261888 in Vinita, Oklahoma

Provider Information

NPI Number: 1124261888
Entity Type: Individual
Name: Jonathan Brodrick
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Apr 10, 2009
Last Updated: Sep 7, 2011

Practice Location

Address: 405 E EXCELSIOR AVE
City: Vinita
State: Oklahoma
ZIP Code: 74301-4226
Phone: (918) 256-6476

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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