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Organization
JUSTINE F. BRADLEY, LPC, LLC
Active
Organization
JUSTINE F. BRADLEY, LPC, LLC
Active
Other names
Willowbrook Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTINE F BRADLEY LPC (OWNER/MEMBER)
(276) 285-5203
Entity
Organization
Contact information
Practice address
110 BRUNSWICK LN, MARION, VA 24354-3339
(276) 285-5203
(276) 285-5455
Mailing address
110 BRUNSWICK LN, MARION, VA 24354-3339
(276) 285-5203
(276) 285-5455
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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