| Doctor Name: | MR. BRIAN EUGENE ABRAHAM |
| NPI Number: | 1003038456 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MS |
| License Number: | |
| Business Practice Address: | 4845 S Sheridan Rd Suite 510 Tulsa, OK - 741455751 |
| Business Phone Number: | 9183840002 |
| Business Fax Number: | 9183840004 |
| Mailing Address: | 4845 S Sheridan Rd, Suite 510 TULSA |
| State: | OK |
| Postal Code: | 741455751 |
| Phone Number: | 9183840002 |
| Fax Number: | 9183840004 |
| NPI Enumeration Date: | 05/03/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |