Provider Demographics
NPI:1851581102
Name:TAYLOR, BRET A (MS, MFT)
Entity Type:Individual
Prefix:MR
First Name:BRET
Middle Name:A
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:MS, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1145 OAKRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:DUNCAN
Mailing Address - State:OK
Mailing Address - Zip Code:73533-5223
Mailing Address - Country:US
Mailing Address - Phone:580-252-2843
Mailing Address - Fax:
Practice Address - Street 1:1105 W MAIN ST
Practice Address - Street 2:SUITE #100
Practice Address - City:DUNCAN
Practice Address - State:OK
Practice Address - Zip Code:73533-4563
Practice Address - Country:US
Practice Address - Phone:580-255-4323
Practice Address - Fax:580-470-9981
Is Sole Proprietor?:No
Enumeration Date:2007-08-01
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)