Individual
AMANDA BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
360 DUNCAN DR, PROVIDENCE, RI 02906-7003
(401) 437-8918
Mailing address
360 DUNCAN DR, PROVIDENCE, RI 02906-7003
(401) 437-8918
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00817
RI
Other
Enumeration date
12/17/2013
Last updated
10/19/2016
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