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Individual
MICHAEL BRADLEY
Active
Individual
MICHAEL BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCMHC, MLADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0260
NH
101YM0800X
Mental Health Counselor
Primary
109
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020258994-13
HARVARD PILGRIM
NH
01
—
1039161
CIGNA
NH
01
—
3003541Y0NH01
BLUE CROSS
NH
Enumeration date
11/01/2006
Last updated
03/22/2021
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