# MR. CHARLES E. BRADLEY III

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1568674125
- **Gender:** Man
- **Credential:** L.P.C., L.M.F.T.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | 11544 | TX | — |
| 101YP2500X | Professional Counselor | 1999 | LA | — |
| 106H00000X | Marriage & Family Therapist | 2707 | TX | Yes |
| 106H00000X | Marriage & Family Therapist | MFT 44 | LA | — |

## Other

- **Enumeration date:** 05/04/2007
- **Last updated:** 09/11/2025