Provider Demographics
NPI:1184980658
Name:TSONETOKOY, BRANDY DAWN
Entity type:Individual
Prefix:MS
First Name:BRANDY
Middle Name:DAWN
Last Name:TSONETOKOY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8708 DENA LN
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA
Mailing Address - State:OK
Mailing Address - Zip Code:73132-3101
Mailing Address - Country:US
Mailing Address - Phone:405-974-9502
Mailing Address - Fax:405-367-7212
Practice Address - Street 1:8708 DENA LN
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73132-3101
Practice Address - Country:US
Practice Address - Phone:405-974-9502
Practice Address - Fax:405-367-7212
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-09
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)