Individual
MR. BRADLEY S COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
53 ELWOOD DRIVE, SPRINGFIELD, MA 01108-2643
(413) 209-8178
Mailing address
53 ELWOOD DRIVE, SPRINGFIELD, MA 01108-2643
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
713
MA
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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