Provider Demographics
NPI:1891085551
Name:BRIGMAN, IRIS THRASH (LPC)
Entity Type:Individual
Prefix:MRS
First Name:IRIS
Middle Name:THRASH
Last Name:BRIGMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 PLATTER CUTOFF RD
Mailing Address - Street 2:
Mailing Address - City:CALERA
Mailing Address - State:OK
Mailing Address - Zip Code:74730-4000
Mailing Address - Country:US
Mailing Address - Phone:580-920-6206
Mailing Address - Fax:580-920-4935
Practice Address - Street 1:302 PLATTER CUTOFF RD
Practice Address - Street 2:
Practice Address - City:CALERA
Practice Address - State:OK
Practice Address - Zip Code:74730-4000
Practice Address - Country:US
Practice Address - Phone:580-920-6206
Practice Address - Fax:580-920-4935
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-14
Last Update Date:2011-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1616101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional