Individual
BRADLY HERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, MS
Contact information
Practice address
1450 PETERMAN DRIVE, ALEXANDRIA, LA 71303
(318) 992-5009
Mailing address
3625 YOUREE DR, SHREVEPORT, LA 71105-2121
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/18/2017
Last updated
10/18/2017
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