Brandon Udell Bethel

NPI #1972067445 in Porter, Oklahoma

Provider Information

NPI Number
1972067445
Entity Type
Individual
Name
Brandon Udell Bethel
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor
Enumeration Date
Jan 29, 2019
Last Updated
Jan 29, 2019

Practice Location

Address
222 N 6TH ST
City
Porter
ZIP Code
74454-1090
Phone
(918) 310-8775

Specialties & Taxonomy Codes

Specialty
Counselor

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