Individual
MRS. MICHELE NICOLE BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2573 MINOSA CIR N, JACKSONVILLE, FL 32209-2463
(904) 705-3400
Mailing address
2573 MINOSA CIR N, JACKSONVILLE, FL 32209-2463
(904) 705-3400
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT4540
FL
Other
Enumeration date
08/16/2012
Last updated
01/23/2023
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