Doctor Name: | MRS. IRIS THRASH BRIGMAN |
NPI Number: | 1891085551 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 1616 |
Business Practice Address: | 302 Platter Cutoff Rd Calera, OK - 747304000 |
Business Phone Number: | 5809206206 |
Business Fax Number: | 5809204935 |
Mailing Address: | 302 Platter Cutoff Rd, CALERA |
State: | OK |
Postal Code: | 747304000 |
Phone Number: | 5809206206 |
Fax Number: | 5809204935 |
NPI Enumeration Date: | 04/14/2011 |
NPI Last Update Date: | 04/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 1616 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |