# KYANA BRADLEY

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

## Provider details

- **NPI number:** 1578052486
- **Gender:** F
- **Credential:** LPC, LCPC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | LC8316 | MD | — |
| 101Y00000X | Counselor | PRC14889 | DC | — |
| 101YM0800X | Mental Health Counselor | LC8316 | MD | Yes |
| 101YM0800X | Mental Health Counselor | PRC14889 | DC | — |
| 101YP2500X | Professional Counselor | LC8316 | MD | — |
| 101YP2500X | Professional Counselor | PRC14889 | DC | — |

## Other

- **Enumeration date:** 05/07/2018
- **Last updated:** 06/11/2019