Individual
BRADLEY LEVI SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
303 HERMITAGE RD, PINEVILLE, LA 71360-2623
(318) 794-2806
Mailing address
303 HERMITAGE RD, PINEVILLE, LA 71360-2623
(318) 794-2806
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2185
LA
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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