Individual
CHARLOTTE BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 BELVIEW RD, LEESVILLE, LA 71446-2902
(337) 239-2946
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 890-8186
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1533
LA
Other
Enumeration date
11/09/2015
Last updated
11/18/2024
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