Individual
BRADLEY WARREN CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
299 12TH ST STE A, MARINA, CA 93933-6003
(831) 647-7652
Mailing address
1196 THIRD AVE, CHULA VISTA, CA 91911-3131
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/29/2017
Last updated
11/16/2018
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