NPI 1821406620 · live from the CMS NPI Registry
Audra Jean Brister, MA: Human services,
Marriage & Family Therapist in Tulsa, OK. National Provider Identifier 1821406620, active.
NPI record
| NPI | 1821406620 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 7037 S Birmingham Ct, Tulsa, OK 74136 |
| Practice phone | 361-727-5372 |
| Enumerated | July 24, 2014 |
| Last updated | July 24, 2014 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | — (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.