Individual
MR. BRAD MICHAEL GROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-S
Contact information
Practice address
160 SOUTH BEADLE ROAD, LAFAYETTE, LA 70508
(225) 405-8309
Mailing address
160 SOUTH BEADLE ROAD, LAFAYETTE, LA 70508
(337) 306-4462
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5660
LA
101YM0800X
Mental Health Counselor
5660
LA
Other
Enumeration date
02/21/2019
Last updated
09/14/2021
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