Individual
HEATH RAY BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
515 ENTERPRISE DR STE 300, LOWELL, AR 72745-8982
(479) 717-7626
Mailing address
6 MAYFAIR LN, BELLA VISTA, AR 72715-5352
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/03/2020
Last updated
02/03/2020
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