Individual
AIRIE BRADSTREET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 MADISON AVE STE 200, TOLEDO, OH 43604-1230
(504) 330-7340
Mailing address
5721 4TH ST, VIOLET, LA 70092-3050
(504) 452-1490
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/09/2018
Last updated
06/16/2025
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