Individual
BRADFORD HOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1261 S SEWARD MERIDIAN PKWY, WASILLA, AK 99654-8372
(907) 351-9220
(907) 373-9220
Mailing address
PO BOX 67, PALMER, AK 99645-0067
(907) 351-9220
(907) 373-9220
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
809
AK
Other
Enumeration date
12/10/2013
Last updated
12/10/2013
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