Individual
MELISSA BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4336 NORTH BLVD STE 204, BATON ROUGE, LA 70806-3920
(225) 960-7419
(225) 960-7121
Mailing address
4336 NORTH BLVD STE 204, BATON ROUGE, LA 70806-3920
(225) 960-7419
(225) 960-7421
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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