Individual
WENDY BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATR-BC, CLAT
Contact information
Practice address
642 HILLIARD ST STE 1303, MANCHESTER, CT 06042-2701
(860) 933-5530
Mailing address
214 BRADFORD CORNER RD, WOODSTOCK VALLEY, CT 06282-2004
(860) 933-5530
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ART.000012
CT
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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