Individual
JAIME BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
102 E 3RD ST, PROSPER, TX 75078-2949
(972) 292-0007
Mailing address
1701 COMMONS WAY, PROSPER, TX 75078-1723
(214) 906-5243
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
95969
TX
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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