Individual
BRADLEY ROBERT HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
201 W LAKEWAY RD STE 902, GILLETTE, WY 82718-6345
(307) 209-4649
(307) 381-0493
Mailing address
201 W LAKEWAY RD STE 902, GILLETTE, WY 82718-6345
(307) 209-4649
(307) 381-0493
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT-234
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
922436337
EINS
—
Enumeration date
10/05/2017
Last updated
12/28/2023
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