Individual
BLAKE MORGAN BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
6760 CORPORATE DR STE 140, COLORADO SPRINGS, CO 80919-5910
(251) 656-5244
Mailing address
6760 CORPORATE DR STE 140, COLORADO SPRINGS, CO 80919-5910
(251) 656-5244
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0022066
CO
Other
Enumeration date
05/27/2024
Last updated
05/27/2024
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