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Individual
BRADLEY JOHN REIS
Active
Individual
BRADLEY JOHN REIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA LPCA
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10786
SC
Other
Enumeration date
12/20/2025
Last updated
12/20/2025
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