NPI 1003021106

Suzie Deann Braddock, LPC

Practitioner Professional Counselor Altus, OK

Practice location

Address: 3000 N Main St Suite C, Altus, OK 73521-1348
Phone: (580) 471-9948

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 2945 (OK)

Other Counselor providers in Oklahoma →

Registry record

NPI: 1003021106
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.