Individual
NICOLA SIMONE BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
500 W 3RD AVE, SUITE 105, ALBANY, GA 31701-1985
(229) 312-7001
(229) 312-7006
Mailing address
500 W 3RD AVE, SUITE 105, ALBANY, GA 31701-1985
(229) 312-7001
(229) 312-7006
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001157
GA
Other
Enumeration date
04/22/2013
Last updated
04/22/2013
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