Individual
BRADLEY JAMES TRATHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
175 RANCH LN, BUENA VISTA, CO 81211-8167
(517) 449-8257
Mailing address
175 RANCH LN, BUENA VISTA, CO 81211-8167
(517) 449-8257
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0017496
CO
101YP2500X
Professional Counselor
Primary
LPC.0016774
CO
Other
Enumeration date
09/03/2020
Last updated
07/02/2025
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