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Individual
BRADLEY JOSEPH OSBORN
Active
Individual
BRADLEY JOSEPH OSBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAS, CADCII, SUDP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19-R-02
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
6654
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP61335275
WA
101YM0800X
Mental Health Counselor
22-QMHA-I-003318
OR
Other
Enumeration date
10/17/2012
Last updated
10/30/2024
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