BRIAN CHILDS

NPI: 1528263944 · Individual · Active

Primary Specialty

Professional Counselor
Counselor — Professional

Practice Location

101 N WHEELER AVE
SALLISAW, OK 74955-4617 Map ↗
Phone: 918-775-5513
Fax: 918-775-5526

Mailing Address

PO BOX 558
TAHLEQUAH, OK 74465-0558 Map ↗
Phone: 918-775-5513
Fax: 918-775-5526

Used for billing & correspondence; clinical visits at the Practice Location above.

All Specialties & Licenses

  • Professional Counselor Primary — Professional (license: 3198, OK)

NPI Registration

Enumerated: 2007-06-16

Last CMS Update: 2007-07-08