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Individual
MR. BRADLEY HENRY HAAS
Active
Individual
MR. BRADLEY HENRY HAAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S. LPC, CADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12719
WI
101YP2500X
Professional Counselor
Primary
3140-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39741600
—
WI
Enumeration date
12/19/2006
Last updated
07/24/2007
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