Individual
MS. ASHLEY VICTORIA BRADT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC, LADC
Contact information
Practice address
201 MAIN STREET W, ISANTI, MN 55040-7163
(763) 600-2911
Mailing address
PO BOX 23, ISANTI, MN 55040-0023
(763) 600-2911
(763) 244-1243
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1827
MN
Other
Enumeration date
06/06/2018
Last updated
12/01/2023
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