Individual
KATHLEEN BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1515 FAIRVIEW AVE, STE. 235, MISSOULA, MT 59801-0235
(406) 721-5157
(406) 327-1215
Mailing address
1515 FAIRVIEW AVE., STE. 235, MISSOULA, MT 59801-0235
(406) 721-5157
(406) 327-1215
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1316
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316
STATE LICENSE
MT
Enumeration date
01/31/2008
Last updated
01/31/2008
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