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Individual
MR. LEONARD EUGENE BRADLEY
Active
Individual
MR. LEONARD EUGENE BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSE, CCDP-D, ICCDP-D
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4917
MO
101YM0800X
Mental Health Counselor
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
Other
Enumeration date
07/31/2006
Last updated
09/02/2010
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