Individual
MS. ANNE B BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC, CAMS
Contact information
Practice address
1000 CORPORATE POINTE STE 112, WARNER ROBINS, GA 31088-3439
(478) 254-0677
Mailing address
PO BOX 1329, BYRON, GA 31008-1329
(478) 254-0677
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC 005500
GA
101YP2500X
Professional Counselor
LPC011065
GA
Other
Enumeration date
11/18/2015
Last updated
09/06/2019
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