Brad T Brogdon
Rehabilitation Counselor Professional Counselor
610 E 24th St
Tishomingo
, Oklahoma 73460-3245
Brad T Brogdon
Rehabilitation Counselor Professional Counselor
610 E 24th St
Tishomingo
, Oklahoma 73460-3245
(580) 272-5757
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About
Features
Specialties
- Professional Counselor
- Rehabilitation Counselor
Languages spoken
- English
Location
First Address
- Brad T Brogdon
- Resource Management 1300 Hoppe Blvd., Suite 1
- Ada, OK
- Zip : 74820
- Fax : (580) 272-5757
- Phone : (580) 436-7211
Second Address
- Brad T Brogdon
- 610 E 24th St
- Tishomingo, OK
- Zip : 73460-3245
- Fax : (580) 371-3614
- Phone : (580) 371-2343
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP2500X | Professional Counselor | ||
| N | 225C00000X | Rehabilitation Counselor |
National Provider Identifier
| NPI | 1174862320 |
|---|---|
| Provider Name | Brad T Brogdon |
| First Address | Ada, OK 74820 |
| Second Address | Tishomingo, OK 73460-3245 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/02/2013 |
| Last Update Date | 07/08/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.