Individual
MS. ANITRA LYNETTE BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
621 E NORTH ST, MAGNOLIA, AR 71753-3120
(870) 234-0739
Mailing address
1600 ALDERSGATE RD STE 200, LITTLE ROCK, AR 72205-6676
(501) 661-0720
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
89794
TX
101YM0800X
Mental Health Counselor
A0710078
AR
101YP2500X
Professional Counselor
89794
TX
101YP2500X
Professional Counselor
P1012084
AR
101YP2500X
Professional Counselor
TEL1092
LA
Other
Enumeration date
07/26/2007
Last updated
04/28/2026
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